Individual
MR. RONALD DEAN BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
1305 E VINE ST, LODI, CA 95240-3148
(209) 331-7085
Mailing address
1305 E VINE ST, LODI, CA 95240-3148
(209) 331-7085
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240087130
CA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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