Individual
MS. LAURA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7350 HERITAGE VILLAGE PLZ, SUITE 201, GAINESVILLE, VA 20155-3084
(571) 248-0626
(866) 817-3052
Mailing address
7350 HERITAGE VILLAGE PLZ, SUITE 201, GAINESVILLE, VA 20155-3084
(571) 248-0626
(866) 817-3052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005151
VA
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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