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Individual

MS. LAURA BETH BLOMQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
7000 W PALMETTO PARK RD STE 407, BOCA RATON, FL 33433-3425
(954) 227-2700
Mailing address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
MT4349
FL

Other

Enumeration date
01/17/2019
Last updated
07/18/2022
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