Individual
DR. MATTILAN WINTER MARTIN CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
805 5TH ST SW, WASECA, MN 56093-2003
(612) 619-6421
Mailing address
8721 PALMGREN AVE NE, OTSEGO, MN 55330-4402
(612) 619-6421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP7142
MN
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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