Individual
CARRIE M BROWER-BREITWIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-4141
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-4141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
472
ND
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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