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Individual

JESSICA MARIE MARTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Mailing address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CC02049
MN

Other

Enumeration date
03/11/2019
Last updated
03/11/2019
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