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Individual

DR. AGNIESZKA KAROLINA SERWIK KRONHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
905 UNION ST, 9, BANGOR, ME 04401-3050
(207) 973-4037
(207) 973-8276
Mailing address
43 WHITING HILL RD, 300, BREWER, ME 04412-1005

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1353
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS1353
PSYCHOLOGIST
ME
Enumeration date
09/06/2016
Last updated
06/12/2020
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