Individual
MS. MARMIE PAULINE JOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2602 1ST AVE, HIBBING, MN 55746-2245
(218) 203-5949
(218) 263-3771
Mailing address
2602 1ST AVE, HIBBING, MN 55746-2245
(218) 203-5949
(218) 263-3771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800002959/C09138
MEDICARE PROVIDER ENROLLMENT INDIVIDUAL/PTAN
MN
Enumeration date
03/09/2010
Last updated
06/09/2025
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