Individual
LAUREN CHRISTINE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
275 S BRYN MAWR AVE APT H20, BRYN MAWR, PA 19010-4234
(215) 240-0500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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