Individual
MARY KATHRYN MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
446 CENTER ST, TAYLORS FALLS, MN 55084-1118
(651) 329-1612
Mailing address
446 CENTER ST, PO BOX 396, TAYLORS FALLS, MN 55084-1118
(651) 329-1612
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1046986-1-AFC
MN
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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