Individual
KERIANAH MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3774 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
(269) 428-2799
Mailing address
1790 N HILL RD, WATERVLIET, MI 49098-9524
(269) 281-6240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000538
MI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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