Individual
MRS. MARCIA F LEQUESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 W BROADWAY FL 2, WAUKESHA, WI 53186-4833
(262) 547-5567
(262) 547-1608
Mailing address
101 W BROADWAY FL 2, WAUKESHA, WI 53186-4833
(262) 547-5567
(262) 547-1608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6401008616
MI
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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