CAROLYN BLOOM

CHICAGO, IL
NPI1255924676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  32126)
Enumeration Date2021-02-17
Last Update Date2021-02-17
Business Address
CAROLYN BLOOM
200 W MONROE ST STE 1150
CHICAGO, IL 60606-5036
Phone number: 314-369-8849
Mailing Address
CAROLYN BLOOM
200 W MONROE ST STE 1150
CHICAGO, IL 60606-5036
Phone number: 314-369-8849
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