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Individual

MRS. PATRICIA MATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2012 IRONWOOD CIR, 230, SOUTH BEND, IN 46635-1888
(574) 387-4049
(574) 387-4062
Mailing address
2012 IRONWOOD CIRCLE, 230, SOUTH BEND, IN 46635
(574) 387-4049
(574) 387-4062

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22000756
IN

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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