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Individual

CARYL BOEHNERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2412 BUHNE ST, EUREKA, CA 95501-3207
(707) 441-1624
(707) 441-1253
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4290
MN

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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