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AMY M BLOOM LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992146435

Individual Registrant:
 AMY M BLOOM LCSW
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: --

Contact information for business:
5851 HOLMBERG RD 3514 PARKLAND, FL 33067-4536 US
Tel: 561-445-7631  Fax: --

Registration Information:
NPI: 1992146435
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW 7260

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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