Individual
AMY L MARCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.ED.
Contact information
Practice address
1202 CALLON ST, WAUSAU, WI 54402-1702
(715) 845-5493
(715) 848-5645
Mailing address
1202 CALLON STREET, PO BOX 1702, WAUSAU, WI 54402-1702
(715) 845-5493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40937300
—
WI
Enumeration date
03/30/2007
Last updated
05/04/2011
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