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1184651432
KRISTA A. BLOOM
PLANTATION, FL
NPI
1184651432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5499)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Miss KRISTA A. BLOOM L.C.S.W
7500 NW 5TH ST SUITE#111
PLANTATION, FL 33317-1612
Phone number: 754-234-6991
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Mailing Address
Miss KRISTA A. BLOOM L.C.S.W
10229 NW 33RD ST
SUNRISE, FL 33351-6910
Phone number: 954-742-8137
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