Individual
KAREN L BLOOMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 234-0061
(574) 283-1209
Mailing address
3714 FRANKLIN ST, MICHIGAN CITY, IN 46360-7311
(219) 861-7243
(219) 879-8537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30442143A
IN
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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