Individual
RICKI BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-P
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 338-3320
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-10697
NM
Other
Enumeration date
06/09/2014
Last updated
10/31/2018
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