Individual
MRS. MORIAH M MATTEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 625-6400
Mailing address
4318 COOKE ST, DULUTH, MN 55804-1948
(218) 348-1576
(218) 625-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3692-154
WI
235Z00000X
Speech-Language Pathologist
Primary
8847
MN
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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