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Organization
RUTH A. GOLDBLOOM, P.A.
Active
Organization
RUTH A. GOLDBLOOM, P.A.
Active
Other names
Casselman Counseling Consortium
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH ALICE GOLDBLOOM LCPC, LPC (OWNERN& CHIEF CLINICIAN)
(301) 895-3388
Entity
Organization
Contact information
Practice address
12590 NATIONAL PIKE, SUITE 2, GRANTSVILLE, MD 21536-3310
(301) 895-3388
(301) 895-3399
Mailing address
12590 NATIONAL PIKE, P O BOX 268, GRANTSVILLE, MD 21536-3310
(301) 895-3388
(301) 895-3399
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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