Individual
MR. PAUL W CRONSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
789 N CLARE AVE, HARRISON, MI 48625-9194
(989) 539-2141
(989) 539-2153
Mailing address
PO BOX 281, HARRISON, MI 48625-0281
(989) 539-0158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003291
MI
Other
Enumeration date
10/13/2006
Last updated
07/21/2022
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