Individual
MICHAEL MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1219 N CASS ST, MILWAUKEE, WI 53202-2770
(414) 221-0022
Mailing address
4421 N MURRAY AVE, SHOREWOOD, WI 53211-1644
(414) 221-0022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6113-123
WI
Other
Enumeration date
06/15/2006
Last updated
07/09/2014
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