Individual
CAROLYN DENISE MENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 776-5548
(906) 776-5478
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 776-5548
(906) 776-5478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2605-154
WI
235Z00000X
Speech-Language Pathologist
Primary
7101003847
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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