Individual
CAROL BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 459-9827
Mailing address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 459-9827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.10133
OH
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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