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Individual

MS. ELLEN MARCIE BLOOM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN:MCHJ-QCR, TACOMA, WA 98431-0001
(253) 968-6546
(253) 968-5602
Mailing address
26205 116TH AVE SE, A-202, KENT, WA 98030-8497
(253) 850-1126

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05175800
NJ

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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