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1639543390
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
SANTA ROSA, CA
NPI
1639543390
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Entity Type
Organization
Authorized Contact
JENNIFER BLUM
Owner
707-331-4769
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA 27164)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-331-4769
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Mailing Address
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
484 CORNISH LN
ANGWIN, CA 94508-9736
Phone number: 707-331-4769
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