Audrey Bloom LCSW

NPI 1487948972 - Social Worker - 1041C0700X

NPI Details
NPI 1487948972
Gender Female
Enumeration Date 06/02/2011
Last Updated 06/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2000 S DIXIE HWY
SUITE 104, COCONUT GROVE CENTER
MIAMI FL, 33133-2456, US
Phone (305) 301-8251
Fax
Business Location
17142 SW 112TH CT
MIAMI FL, 33157-3907, US
Phone (305) 301-8251
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number 10388
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According to our database, Ms. Audrey Bloom LCSW NPI is 1487948972, taxonomy code is 1041C0700X and license number is 10388, license state is located at Florida. Audrey Bloom LCSW physically located at 2000 S Dixie Hwy, Miami FL, 33133-2456. NPI Number Audrey Bloom LCSW has the Individual type.

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1487948972 NPI number is provided on an as is basis without warranty of any kind. 1487948972 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Bloom LCSW are for informational purposes only.