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Organization

MARQUETTE UNIVERSITY

Active
Other names
Marquette 7Cs Community Counseling Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN SHOUP (CHIEF OF OPERATIONS)
(414) 288-7378
Entity
Organization

Contact information

Practice address
561 N 15TH ST, ROOM 171A, MILWAUKEE, WI 53233-2237
(414) 288-4556
(414) 288-6100
Mailing address
561 N. 15 STREET, ROOM 171A, MILWAUKEE, WI 53233
(414) 288-4556
(414) 288-6100

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
WI

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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