AMANDA L BLOOM

LOGANSPORT, IN
NPI1013287671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2012-01-12
Last Update Date2012-01-12
Business Address
AMANDA L BLOOM BS
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414
Mailing Address
AMANDA L BLOOM BS
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414
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