Individual
MS. LORA ELINORE MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,LICSW
Contact information
Practice address
7616 CURRELL BLVD, SUITE 110, WOODBURY, MN 55125-2290
(651) 259-9763
Mailing address
7616 CURRELL BLVD, SUITE 110, WOODBURY, MN 55125-2290
(651) 259-9763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7562
MN
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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