Individual
MR. DAVID MATOS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
5150 N 32ND ST, MILWAUKEE, WI 53209-5400
(414) 462-4697
(414) 462-8296
Mailing address
834 W PROSPECT AVE, APPLETON, WI 54914-5415
(920) 993-9010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10850-132
WI
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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