Individual
MS. CAROL BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 W 9TH ST, SUITE 8C, NEW YORK, NY 10011-8971
(212) 979-0035
Mailing address
26 W 9TH ST, SUITE 8C, NEW YORK, NY 10011-8971
(212) 979-0035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
022275-1
NY
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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