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1194048017
LAURA BLOOM
GAINESVILLE, VA
NPI
1194048017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005151)
Enumeration Date
2010-03-05
Last Update Date
2010-03-05
Business Address
Ms. LAURA BLOOM LCSW
7350 HERITAGE VILLAGE PLZ SUITE 201
GAINESVILLE, VA 20155-3084
Phone number: 571-248-0626
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Mailing Address
Ms. LAURA BLOOM LCSW
7350 HERITAGE VILLAGE PLZ SUITE 201
GAINESVILLE, VA 20155-3084
Phone number: 571-248-0626
Copy
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