Individual
HOLLY A HAMMARSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 323-5626
(701) 255-4495
Mailing address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 323-5626
(701) 255-4495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4980
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4980
LICENSED SOCIAL WORKER
ND
Enumeration date
08/05/2019
Last updated
08/05/2019
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