Individual
MS. TONI M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0600
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#2111
CT
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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