JESSICA LYNN GUSTIN DATHE

FARGO, ND
NPI1952530172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: ND  441)
Enumeration Date2009-07-09
Last Update Date2025-07-02
Business Address
JESSICA LYNN GUSTIN DATHE
FARGO VA 2101 ELM STREET
FARGO, ND 58102
Phone number: 701-239-3700
Mailing Address
JESSICA LYNN GUSTIN DATHE
FARGO VA HCS 2101 ELM ST. N
FARGO, ND 58102
Phone number: 701-239-3700