Individual
MARY E MATERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11471 31 MILE RD., WASHIGTON, MI 48095-4809
(586) 752-5782
Mailing address
11471 31 MILE RD, WASHINGTON, MI 48095-2939
(586) 752-5782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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