Individual
BARBARA JO BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2915 CORDA LN, LOS ANGELES, CA 90049-1105
(310) 472-0597
Mailing address
2915 CORDA LN, LOS ANGELES, CA 90049-1105
(310) 472-0597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18338
CA
Other
Enumeration date
03/02/2007
Last updated
03/22/2010
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