Individual
MARY AASNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(701) 451-5057
Mailing address
4705 10TH AVE S, FARGO, ND 58103-7221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
393-12-1-97-146
ND
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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