Individual
MRS. MOLLIE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
7104 FOREST CREEK WAY, HANOVER, MD 21076-1176
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER190567D3Q4H9
MD
Other
Enumeration date
10/21/2024
Last updated
10/29/2024
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