Individual
MAGDALENA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LICSW
Contact information
Practice address
1201 HARMON PL, MINNEAPOLIS, MN 55403-2043
(612) 313-3240
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2300
(612) 467-2195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114434
IA
Other
Enumeration date
10/22/2021
Last updated
05/01/2024
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