Individual
JENNA HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
Mailing address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4687
ND
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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