Krista A. Bloom L.C.S.W

NPI 1184651432 - Social Worker - 1041C0700X

NPI Details
NPI 1184651432
Gender Female
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7500 NW 5TH ST
SUITE#111
PLANTATION FL, 33317-1612, US
Phone (754) 234-6991
Fax
Business Location
10229 NW 33RD ST
SUNRISE FL, 33351-6910, US
Phone (954) 742-8137
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW5499
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According to our database, Miss Krista A. Bloom L.C.S.W NPI is 1184651432, taxonomy code is 1041C0700X and license number is SW5499, license state is located at Florida. Krista A. Bloom L.C.S.W physically located at 7500 Nw 5th St, Plantation FL, 33317-1612. NPI Number Krista A. Bloom L.C.S.W has the Individual type.

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1184651432 NPI number is provided on an as is basis without warranty of any kind. 1184651432 is maintained by the National Plan & Provider Enumeration System. The contents of Krista A. Bloom L.C.S.W are for informational purposes only.