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Individual

DR. RANIELLE LEA BLOHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
821 E ACCIPITER CIR, CLARKSVILLE, TN 37043-2711
(949) 421-9127
Mailing address
1004 HWY 104, IONE, CA 95640
(209) 274-4911

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32319
CA
103T00000X
Psychologist

Other

Enumeration date
07/23/2015
Last updated
11/28/2022
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