Individual
MS. MARILYN A. MATEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
308 W ASHLEY ST, JACKSON, MN 56143-1568
(507) 847-3148
(507) 847-3206
Mailing address
308 W ASHLEY ST, P.O. BOX 143, JACKSON, MN 56143-1568
(507) 847-3148
(507) 847-3206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300459
MN
Other
Enumeration date
11/28/2006
Last updated
02/28/2008
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