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Individual

DR. ANGELA R LAROCQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1300 HOSPITAL LOOP, QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY, BELCOURT, ND 58316
(701) 477-6111
(701) 477-2509
Mailing address
1300 HOSPITAL LOOP, QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY, BELCOURT, ND 58316
(701) 477-6111
(701) 477-2509

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
408
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1460127
ND
Enumeration date
02/06/2008
Last updated
01/26/2017
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