Individual
MRS. ELIZABETH ANNA MATOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 465-5753
Mailing address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
(414) 273-2223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127282-121
WI
Other
Enumeration date
02/26/2010
Last updated
12/20/2016
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