Individual
AMY M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5851 HOLMBERG RD, 3514, PARKLAND, FL 33067-4536
(561) 445-7631
Mailing address
6865 HUNTINGTON LN APT 207, DELRAY BEACH, FL 33446-3011
(561) 445-7631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 7260
FL
Other
Enumeration date
07/12/2013
Last updated
06/21/2023
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