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Individual

DR. TREVOR WAAGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LP

Contact information

Practice address
501 N COLUMBIA RD RM 1300, GRAND FORKS, ND 58203-2817
(701) 777-3745
Mailing address
3500 30TH AVE S APT 103, GRAND FORKS, ND 58201-5952
(406) 478-3190

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
655
ND

Other

Enumeration date
01/20/2025
Last updated
01/20/2025
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