Individual
DR. SARAH M RAGONESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
5414 W STONEWOOD DR, BLOOMINGTON, IN 47403-8010
(812) 272-3398
Mailing address
5414 W STONEWOOD DR, BLOOMINGTON, IN 47403-8010
(812) 272-3398
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20042855A
IN
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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