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Individual

SUSAN M MATZKE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1 S MAIN ST, JANESVILLE, WI 53545-3922
(608) 757-0404
(608) 757-2319
Mailing address
4425 N FOREST HILLS BLVD, JANESVILLE, WI 53545-8938
(608) 752-4732
(608) 757-2319

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
463-125
WI
1041C0700X
Clinical Social Worker
Primary
3327-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39196700
WI
Enumeration date
02/23/2006
Last updated
09/11/2025
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