| Marmie Jotter Licsw | |
|
402 E Howard St Suite 16 Hibbing MN 55746-1759 | |
| (218) 929-0959 | |
| Not Available |
| Full Name | Marmie Jotter Licsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 402 E Howard St, Hibbing, Minnesota |
| Authorized Official Name and Position | Marmie Pauline Jotter (CEO) |
| Authorized Official Contact | 2189290959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marmie Jotter Licsw 402 E Howard St Suite 16 Hibbing MN 55746-1759 Ph: (218) 929-0959 | Marmie Jotter Licsw 402 E Howard St Suite 16 Hibbing MN 55746-1759 Ph: (218) 929-0959 |
| NPI Number | 1528327970 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Medicare PECOS PAC ID | 8123283223 |
|---|---|
| Medicare Enrollment ID | O20120622000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528327970 | NPI | - | NPPES |
| 1184947814 | Other | MN | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 18284 (Minnesota) | Primary |
| Provider Name | Marmie P Jotter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184947814 PECOS PAC ID: 0446445993 Enrollment ID: I20101110001109 |
| Provider Name | Charlene M Colwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841629250 PECOS PAC ID: 2365768819 Enrollment ID: I20150228000101 |
| Provider Name | Corie S Mckibben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952931586 PECOS PAC ID: 4587070123 Enrollment ID: I20210308000241 |
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