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1114998481
HAROLD BLOOM
ATHENS, GA
NPI
1114998481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW000272)
Enumeration Date
2006-01-27
Last Update Date
2007-07-08
Business Address
-- HAROLD BLOOM LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-542-9739
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Mailing Address
-- HAROLD BLOOM LCSW
1731 MERIWEATHER DR STE 102
BOGART, GA 30622-3046
Phone number: 706-227-7204
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