Marissa Matocky

NPI #1891567665 in Cedarburg, Wisconsin

Provider Information

NPI Number: 1891567665
Entity Type: Individual
Name: Marissa Matocky
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 25, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: N21W5338 PIERCE CT
City: Cedarburg
State: Wisconsin
ZIP Code: 53012-2955
Phone: (262) 343-5559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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