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Organization

JASMINE OTTMAR PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE OTTMAR LICSW (PRESIDENT)
(701) 209-0319
Entity
Organization

Contact information

Practice address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 404-0997
(701) 566-8876
Mailing address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 209-0319

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/29/2021
Last updated
10/05/2021
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