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Individual

JULIA MATTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3951 W MILHAM AVE, PORTAGE, MI 49024-1088
(269) 329-0200
Mailing address
3951 W MILHAM AVE, PORTAGE, MI 49024-1088

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007424
MI

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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