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1154674448
MATTHEW RAY KANGAS
WAUKESHA, WI
NPI
1154674448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7464-123)
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
Mr. MATTHEW RAY KANGAS LCSW
2717 N GRANDVIEW BLVD SUITE 303
WAUKESHA, WI 53188-1672
Phone number: 262-544-6486
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Mailing Address
Mr. MATTHEW RAY KANGAS LCSW
PO BOX 940
MILWAUKEE, WI 53201-0940
Phone number: 414-520-7606
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