Individual
AUTUMN BURG-MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 7TH AVE S, SAINT CLOUD, MN 56301-1316
(612) 564-5374
Mailing address
720 7TH AVE S, SAINT CLOUD, MN 56301-1316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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