JAMIE MICHAEL MERSOLA

OTSEGO, MN
NPI1669118360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  xxxxxxxxxxxxxxx)
Enumeration Date2022-05-06
Last Update Date2022-05-06
Business Address
Mr. JAMIE MICHAEL MERSOLA
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330-0168
Phone number: 763-746-9492
Mailing Address
Mr. JAMIE MICHAEL MERSOLA
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 818-391-0602