Individual
DAVID MATOUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 225-2506
Mailing address
8525 PEER RD, SOUTH LYON, MI 48178-9117
(734) 255-2839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801059144
MI
Other
Enumeration date
01/21/2017
Last updated
02/07/2017
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