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1023784543
MARISSA MAHANNA
FARGO, ND
NPI
1023784543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MN 19282)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
MARISSA MAHANNA Minnesota LSW
414 11TH ST N
FARGO, ND 58102-4312
Phone number: 701-478-1097
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Mailing Address
MARISSA MAHANNA Minnesota LSW
600 S 2ND ST # 308C
BISMARCK, ND 58504-5726
Phone number: 701-223-4517
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