INGRID A BLOOM

MINNEAPOLIS, MN
NPI1053530261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MN  01806)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- INGRID A BLOOM LICSW
12 S 6TH ST #1137
MINNEAPOLIS, MN 55402
Phone number: 612-722-7414
Mailing Address
-- INGRID A BLOOM LICSW
3637 46TH AVE S
MINNEAPOLIS, MN 55406
Phone number: 612-722-7414
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