Individual
ELLEN BLOOM-RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 W FRONT ST, SUITE 206A, RED BANK, NJ 07701-1155
(908) 239-8076
Mailing address
14 CLAVENDON CT, MIDDLETOWN, NJ 07748-3533
(908) 239-8076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SLO5829400
NJ
Other
Enumeration date
05/05/2014
Last updated
04/27/2017
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