Individual
TITIA JO MARCOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
N1807 HILLTOP RD, STODDARD, WI 54658-8967
(608) 457-2726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-120
WI
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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