Individual
MR. MATTHEW RAY KANGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2717 N GRANDVIEW BLVD, SUITE 303, WAUKESHA, WI 53188-1672
(262) 544-6486
Mailing address
PO BOX 940, MILWAUKEE, WI 53201-0940
(414) 520-7606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7464-123
WI
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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