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Organization

SAUK VALLEY MIND MATTERS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN MARIE LATHE NP (PMHNP-BC)
(130) 928-1958
Entity
Organization

Contact information

Practice address
105 W 3RD ST, STERLING, IL 61081-3504
(309) 281-9584
(815) 310-1048
Mailing address
105 W 3RD ST, STERLING, IL 61081-3504
(309) 281-9584
(815) 310-1048

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/03/2026
Last updated
06/03/2026
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