Individual
AJALEE MATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(262) 200-1454
(619) 233-7022
Mailing address
12275 W BLACK OAK DR, GREENFIELD, WI 53228-1047
(414) 736-2063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
08/23/2023
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