Individual
SAMANTHA MARGARET BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
2920 N GREEN VALLEY PKWY STE 321, HENDERSON, NV 89014-0412
(702) 825-5237
Mailing address
1453 EVENING SONG AVE, HENDERSON, NV 89012-4465
(847) 346-9785
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1154
NV
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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