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Individual

DR. CHRISTINE ELIZABETH KANANI BOWERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
1707 MILLER TRUNK HWY, DULUTH, MN 55811-1880
(218) 729-6480
(218) 729-9238
Mailing address
1707 MILLER TRUNK HWY, DULUTH, MN 55811-1880
(218) 729-6480
(218) 729-9238

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP6088
MN
103TF0200X
Forensic Psychologist
Primary
LP6088
MN

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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