Doctor Name: | MS. MARMIE PAULINE JOTTER |
NPI Number: | 1184947814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 18284 |
Business Practice Address: | 3105 E Beltline Suite 16 Hibbing, MN - 557462353 |
Business Phone Number: | 2182635949 |
Business Fax Number: | 2182638435 |
Mailing Address: | 3105 E Beltline, Suite 16 HIBBING |
State: | MN |
Postal Code: | 557462353 |
Phone Number: | 2182635949 |
Fax Number: | 2182638435 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 18284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |