Laura Bloom LCSW

NPI 1194048017 - Social Worker - 1041C0700X

NPI Details
NPI 1194048017
Gender Female
Enumeration Date 03/05/2010
Last Updated 03/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
7350 HERITAGE VILLAGE PLZ
SUITE 201
GAINESVILLE VA, 20155-3084, US
Phone (571) 248-0626
Fax (866) 817-3052
Business Location
7350 HERITAGE VILLAGE PLZ
SUITE 201
GAINESVILLE VA, 20155-3084, US
Phone (571) 248-0626
Fax (866) 817-3052
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904005151
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According to our database, Ms. Laura Bloom LCSW NPI is 1194048017, taxonomy code is 1041C0700X and license number is 0904005151, license state is located at Virginia. Laura Bloom LCSW physically located at 7350 Heritage Village Plz, Gainesville VA, 20155-3084. NPI Number Laura Bloom LCSW has the Individual type.

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1194048017 NPI number is provided on an as is basis without warranty of any kind. 1194048017 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Bloom LCSW are for informational purposes only.