Individual
MARK MARMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
683 N MAIN ST, OSHKOSH, WI 54901-4472
(920) 651-1844
Mailing address
4000 W SPENCER ST, APPLETON, WI 54914-4015
(920) 651-1844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2321-132
WI
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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