Individual
HANNAH MATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-4039
Mailing address
4829 W COLLEGE AVE APT 137, GREENDALE, WI 53129-2942
(847) 345-0737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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