Individual
EVA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 E WISCONSIN AVE STE 1500, MILWAUKEE, WI 53202-4808
(414) 361-2700
Mailing address
231 W WISCONSIN AVE APT 810, MILWAUKEE, WI 53203-2306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11981123
WI
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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