Individual
STEFAN MATIOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 REGENT ST, MADISON, WI 53715-2634
(608) 567-4465
Mailing address
1806 MAPLECREST DR UNIT 102, VERONA, WI 53593-8049
(608) 720-9307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1027228
WI
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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