Individual
MARILEE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1024 7TH AVE, WORTHINGTON, MN 56187-2287
(507) 376-4141
(507) 376-4494
Mailing address
216 E LUVERNE ST, PO BOX 686, LUVERNE, MN 56156-1610
(507) 283-9511
(507) 283-9514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5355575100
—
MN
Enumeration date
09/02/2006
Last updated
07/08/2007
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