Individual
SUSANNA ELIZABETH MATLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(763) 306-6993
Mailing address
15935 POTAWATOMI ST NW, ANDOVER, MN 55304-2226
(763) 306-6993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
NONE
MN
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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