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Individual

DR. KAREN RAE PIETRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3535 SOUTH 31ST STREET, SUITE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 SOUTH 31ST STREET, SUITE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3016
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16215
ND
Enumeration date
05/04/2006
Last updated
09/10/2018
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