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1790484954
KERIANAH MATTSON
SAINT JOSEPH, MI
NPI
1790484954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7152000538)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
KERIANAH MATTSON
3774 HOLLYWOOD RD
SAINT JOSEPH, MI 49085-9550
Phone number: 269-428-2799
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Mailing Address
KERIANAH MATTSON
1790 N HILL RD
WATERVLIET, MI 49098-9524
Phone number: 269-281-6240
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