Individual
CORINNE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W SUPERIOR ST STE 716, CHICAGO, IL 60654-8784
(312) 343-4692
Mailing address
405 W SUPERIOR ST STE 716, CHICAGO, IL 60654-8784
(312) 343-4692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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