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Organization
LIB EXPERIENCE LLC
Active
Organization
LIB EXPERIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLA SAMANTHA BLOOM LCSW (REGISTERED AGENT)
(754) 221-8691
Entity
Organization
Contact information
Practice address
3711 TYLER ST, HOLLYWOOD, FL 33021-6822
(754) 221-8691
Mailing address
4429 HOLLYWOOD BLVD # 4562, HOLLYWOOD, FL 33081-6001
(754) 221-8691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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