Individual
NICOLE M MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
1417 S CLIFF AVE STE 100, SIOUX FALLS, SD 57105-1063
(605) 322-6777
Mailing address
1417 S CLIFF AVE STE 100, SIOUX FALLS, SD 57105-1063
(605) 322-6777
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
0004
SD
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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