Individual
ARIEL CELESTE SOJOURNER REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(408) 836-3833
Mailing address
1801 GIBSON BLVD SE APT 1113, ALBUQUERQUE, NM 87106-3359
(408) 836-3833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0005327
CO
Other
Enumeration date
09/03/2020
Last updated
09/08/2020
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