Organization
BLOOM ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M. BLOOM-RAU LCSW (THERAPIST)
(908) 239-8076
Entity
Organization
Contact information
Practice address
210 WEST FRONT STREET, SUITE 206A, RED BANK, NJ 07701
(908) 239-8076
Mailing address
14 CLAVENDON COURT, MIDDLETOWN, NJ 07748
(908) 239-8076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05647000
NJ
Other
Enumeration date
09/17/2015
Last updated
02/07/2017
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