Individual
MANHATTAN JEHLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 1ST ST SW STE 250, MINOT, ND 58701-3851
(701) 852-3328
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
22888
MN
104100000X
Social Worker
Primary
5025
ND
Other
Enumeration date
08/19/2015
Last updated
02/08/2018
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