Individual
MS. IRMGARD JO ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
3980 DUNLAP AVE, FAIRBANKS, AK 99709-3509
(907) 474-0044
(907) 474-0044
Mailing address
3980 DUNLAP AVE, FAIRBANKS, AK 99709-3509
(907) 474-0044
(907) 474-0044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LPA 611
AK
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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