Individual
CRISTINA B BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1315 S ALLEN ST STE 303, STATE COLLEGE, PA 16801-5946
(814) 571-3136
Mailing address
1315 S ALLEN ST STE 303, STATE COLLEGE, PA 16801-5946
(917) 224-2138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW135982
PA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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