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Organization
MENTAL HEALTH ON PRAIRIE
Active
Organization
MENTAL HEALTH ON PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH MATTISON (OWNER, LCSW)
(608) 481-2330
Entity
Organization
Contact information
Practice address
2797 PRAIRIE AVE STE 22, BELOIT, WI 53511-2288
(608) 481-2330
Mailing address
2797 PRAIRIE AVE STE 22, BELOIT, WI 53511-2288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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