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AMY M BLOOM LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1992146435
Individual Registrant: AMY M BLOOM LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5851 HOLMBERG RD 3514 PARKLAND, FL 33067-4536 US
Tel: 561-445-7631 Fax: --
Tel: 561-445-7631 Fax: --
Contact information for business:
5851 HOLMBERG RD 3514 PARKLAND, FL 33067-4536 US
Tel: 561-445-7631 Fax: --
Tel: 561-445-7631 Fax: --
Registration Information:
NPI: 1992146435
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | FL | SW 7260 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
