Individual
MACIE MARIAH BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 S OREM BLVD APT 36, OREM, UT 84058-3113
(435) 225-6360
Mailing address
453 S OREM BLVD APT 36, OREM, UT 84058-3113
(435) 225-6360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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