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Individual

MATYLIN F GRUTZMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1312 2ND ST NE, MINNEAPOLIS, MN 55413-1132
(612) 839-9386
(833) 933-0639
Mailing address
101 W 2ND ST, DULUTH, MN 55802-2086
(218) 724-3122
(833) 933-0639

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22489
MN

Other

Enumeration date
10/11/2023
Last updated
10/11/2023
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