Individual
MRS. JEANETTE LEA WETCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2301 6TH ST S, FARGO, ND 58103-5303
(701) 239-6827
(701) 241-5775
Mailing address
2301 6 STREET SOUTH, FARGO, ND 58103
(701) 239-6827
(701) 241-5775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3284
ND
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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