Individual
BARBARA JEAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 SOUTH ALASKA STREET, ALASKA GARDENS, TACOMA, WA 98408-1317
(253) 476-5300
(253) 476-5365
Mailing address
808 15TH ST SW, EDMONDS, WA 98020-5168
(425) 672-4637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60120522
WA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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