Individual
MARJORIE LESOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 810-0550
Mailing address
1222 N CASS ST UNIT 384, MILWAUKEE, WI 53202-2964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18201-130
WI
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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