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Individual

MARCY HURLBURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SACIT

Contact information

Practice address
2000 N OXFORD AVE STE 2, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Mailing address
2000 N OXFORD AVE STE 2, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14522
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39170900
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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