HAROLD BLOOM

ATHENS, GA
NPI1114998481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW000272)
Enumeration Date2006-01-27
Last Update Date2007-07-08
Business Address
-- HAROLD BLOOM LCSW
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-542-9739
Mailing Address
-- HAROLD BLOOM LCSW
1731 MERIWEATHER DR STE 102
BOGART, GA 30622-3046
Phone number: 706-227-7204