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1003146853
ADA M BLOOM
SANDUSKY, OH
NPI
1003146853
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Other Name
MICKIE BLOOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I9849)
Enumeration Date
2009-12-29
Last Update Date
2009-12-29
Business Address
Ms. ADA M BLOOM LISW
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
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Mailing Address
Ms. ADA M BLOOM LISW
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
Copy
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