Individual
KAREN NASSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 W REEVES RD, BLOOMINGTON, IN 47404-9639
(812) 325-3517
Mailing address
1488 W ADAMS HILL CIR, BLOOMINGTON, IN 47403-3241
(812) 325-3517
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1373574
IN
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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