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Individual
MS. SONJA OLSEN BLOOM
Active
Individual
MS. SONJA OLSEN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039335
ANTHEM BLUE CROSS BLUE SH
VA
01
—
117291
KAISER PERMANENTE
VA
Enumeration date
03/10/2007
Last updated
07/08/2007
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