Individual
CARRIE J CHOMICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
RANGE MENTAL HEALTH CENTER PERPICH BUILDING, 3203 W 3RD AVE, HIBBING, MN 55746
(218) 263-9237
(218) 262-3150
Mailing address
621 W LAKE ST, STE 350, MINNEAPOLIS, MN 55408-2952
(218) 263-9237
(218) 262-3150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837992100
—
MN
Enumeration date
09/26/2006
Last updated
04/07/2020
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