Individual
JULIE G BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 W KIRKWOOD AVE, STE 213, BLOOMINGTON, IN 47404-6129
(812) 332-9200
(812) 334-2522
Mailing address
101 W KIRKWOOD AVE, STE 213, BLOOMINGTON, IN 47404-6129
(812) 332-9200
(812) 334-2522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003031A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309908
ANTHEM
IN
Enumeration date
03/15/2007
Last updated
07/08/2007
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