ILENE LINDA BLOOM-ELLIS

SAINT LOUIS, MO
NPI1154998086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  004460)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
ILENE LINDA BLOOM-ELLIS MSW, LCSW, ACSW
6815 LEONA ST
SAINT LOUIS, MO 63116-2833
Phone number: 314-703-0062
Mailing Address
ILENE LINDA BLOOM-ELLIS MSW, LCSW, ACSW
6815 LEONA ST
SAINT LOUIS, MO 63116-2833
Phone number: 314-703-0062
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