Individual
ALLYSON MATHEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N91W17271 APPLETON AVE STE 1, MENOMONEE FALLS, WI 53051-2045
(262) 502-3300
Mailing address
N91W17271 APPLETON AVE STE 1, MENOMONEE FALLS, WI 53051-2045
(262) 502-3300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6555-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39759500
—
WI
Enumeration date
04/27/2006
Last updated
09/17/2010
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