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Organization

MENTAL HEALTH ON PRAIRIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH MATTISON (OWNER, LCSW)
(608) 481-2330
Entity
Organization

Contact information

Practice address
2797 PRAIRIE AVE STE 22, BELOIT, WI 53511-2288
(608) 481-2330
Mailing address
2797 PRAIRIE AVE STE 22, BELOIT, WI 53511-2288

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/06/2024
Last updated
02/06/2024
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