Individual
MS. SUSAN LENTZ MATTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 224-8065
Mailing address
324 LILY POND LN, VADNAIS HEIGHTS, MN 55127-6138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5680
MN
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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