Organization
CORNERSTONE CHRISTIAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE ANN MARZOFKA MS LCSW (OWNER/PSYCHOTHERAPIST)
(715) 923-8105
Entity
Organization
Contact information
Practice address
3110 GILBERT ST, SUITE A, MARINETTE, WI 54143-1934
(715) 923-8105
Mailing address
3110 GILBERT ST, SUITE A, MARINETTE, WI 54143-1934
(715) 923-8105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42251900
—
WI
Enumeration date
01/10/2008
Last updated
01/10/2008
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