Individual
JESSICA SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 22ND AVE NW, MINOT, ND 58703-1071
(701) 857-0768
Mailing address
400 22ND AVE NW, MINOT, ND 58703-1071
(701) 857-0768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4894
ND
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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