Individual
AMY E BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1925 ASPEN DRIVE, SUITE 100B, SANTA FE, NM 87505-5579
(505) 474-7777
(505) 424-1975
Mailing address
1925 ASPEN DRIVE, SUITE 100B, SANTA FE, NM 87505-5579
(505) 474-7777
(505) 424-1975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05443
NM
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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