Search › Wisconsin › 1041C0700X
Matthew Mallin, LCSW
NPI 1841884277 · on the registry since 2021
Practice
- Address
- 1520 Madison Ave
Fort Atkinson, WI 53538 - Phone
- (920) 563-5500
- Clinicians at this address
- 8
Additional practice sites
- 500 Mcmillen St, Fort Atkinson, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin