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BOBBIE RENEE ABLES-SMITH LEP #3049

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1043795644

Individual Registrant:
 BOBBIE RENEE ABLES-SMITH LEP #3049
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1305 E VINE ST  LODI, CA 95240-3179 US
Tel: 209-331-7085  Fax: --

Contact information for business:
1305 E VINE ST  LODI, CA 95240-3179 US
Tel: 209-331-7085  Fax: --

Registration Information:
NPI: 1043795644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
CA3049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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