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Individual
MATTHEW L FETROW
Active
Individual
MATTHEW L FETROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
12567-123
WI
1041C0700X
Clinical Social Worker
Primary
149.023548
IL
Other
Enumeration date
10/28/2020
Last updated
04/03/2026
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