Individual
AMANDA R BLOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
(734) 929-4596
Mailing address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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