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1316343536
KATIE M BLOOM
SIOUX FALLS, SD
NPI
1316343536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SD 3131)
Enumeration Date
2014-11-16
Last Update Date
2014-11-16
Business Address
-- KATIE M BLOOM LCSW-PIP
1710 W 18TH ST
SIOUX FALLS, SD 57104-4527
Phone number: 605-338-3639
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Mailing Address
-- KATIE M BLOOM LCSW-PIP
1710 W 18TH ST
SIOUX FALLS, SD 57104-4527
Phone number: 605-338-3639
Copy
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