Individual
MR. ELAZAR ABRAHAM BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3595 SHERIDAN ST STE 202, HOLLYWOOD, FL 33021-3657
(754) 600-9040
Mailing address
3595 SHERIDAN ST STE 202, HOLLYWOOD, FL 33021-3657
(754) 600-9040
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3358
FL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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