Male or Other

Matthew Machnik MSW, APSW

Social Worker in Keshena, WI(View on Map)

Full Name

Matthew Machnik MSW, APSW

NPI Number

1053964783

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/22/2019

Specialties

(Taxonomies)

Code

104100000X
171M00000X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin

License Number

131580-121

Contact
Information

Purpose

Mailing
Location

Address

P.O. BOX 280
W3272 WOLF RIVER DRIVE

City

Keshena
Keshena

State

WI
WI

Postal Code

54135-0280
54135-9202

Country

US
US

Telephone Number

(715) 799-3861
(715) 799-3861

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/22/2019

Provider Address

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