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Organization

BARBARA A. BLOM LLC

Active
Other names
Barbara Blom
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA A. BLOM LMSW (MENTAL HEALTH PROFESSIONAL)
(734) 646-6031
Entity
Organization

Contact information

Practice address
477 S MAIN ST, PLYMOUTH, MI 48170-1708
(734) 646-6031
(734) 975-2909
Mailing address
413 COURTLAND ROAD, YPSILANTI, MI 48197-1829
(734) 646-6031
(734) 975-2909

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801058302
MI

Other

Enumeration date
11/20/2013
Last updated
06/03/2015
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