Individual
DR. ANGELA KROM FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
16150 GOLDEN EAGLE COURT NW, EAGLE VISTA EQUINE CENTER INC., BEMIDJI, MN 56601
(218) 760-0656
Mailing address
1500 BIRCHMONT DR. NW, DEPT. OF PSYCHOLOGY #23, BEMIDJI, MN 56601
(218) 755-2530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5076
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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