Individual
MRS. GERALDINE M BLOOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. CMHC
Contact information
Practice address
92 ADAMS ST, BURLINGTON, VT 05401-4525
(802) 985-9460
Mailing address
PO BOX 1119, SHELBURNE, VT 05482-1119
(802) 985-9460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000018
VT
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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