Individual
GINA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 S WILLIAMS ST, DENVER, CO 80209-4540
(303) 941-4146
Mailing address
111 SMITH AND JONES ROAD, DENVER, CO 80022
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
Primary
—
—
Other
Enumeration date
12/13/2015
Last updated
11/15/2018
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