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1144040098
SCOTT HARRIS BLOOM
JAMAICA, NY
NPI
1144040098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R041634-01)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
Mr. SCOTT HARRIS BLOOM LCSW
17620 148TH AVE
JAMAICA, NY 11434-5518
Phone number: 347-352-1518
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Mailing Address
Mr. SCOTT HARRIS BLOOM LCSW
150 DRAPER LN APT 2BN
DOBBS FERRY, NY 10522-1014
Phone number: 845-801-7560
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