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Individual
MATTHEW THOMAS FESKE
Active
Individual
MATTHEW THOMAS FESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGY
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/19/2014
Last updated
05/26/2021
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