Individual
MATTHEW T VAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 N MAYFAIR RD STE 305, WAUWATOSA, WI 53226-3442
(414) 302-1233
Mailing address
W208N6954 FILLMORE DR, MENOMONEE FALLS, WI 53051-4706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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