Individual
MS. VERA KATERINA MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2004 HIGHLAND AVE STE M, EAU CLAIRE, WI 54701-4389
(715) 835-5915
(715) 835-8112
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1724-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578737391
—
WI
Enumeration date
04/14/2008
Last updated
04/28/2020
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