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Individual
CAROLYN DENISE MENTEL
Active
Individual
CAROLYN DENISE MENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2605-154
WI
235Z00000X
Speech-Language Pathologist
Primary
7101003847
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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