Individual
ABIGAIL L BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1583
Mailing address
344 E 4TH ST, JAMESTOWN, NY 14701-5502
(716) 661-1590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085869
NY
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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