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1043415599
GWEN BLOOM
BRANCHBURG, NJ
NPI
1043415599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SC05137300)
Enumeration Date
2007-06-15
Last Update Date
2022-07-21
Business Address
-- GWEN BLOOM LCSW
3322 RTE 22 STE 428
BRANCHBURG, NJ 08876-3395
Phone number: 732-501-5917
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Mailing Address
-- GWEN BLOOM LCSW
655 E JERSEY ST DEPT. BEHAVIORAL HEALTH & PSYCHIATRY
ELIZABETH, NJ 07206-1259
Phone number: 908-994-5000
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