KATIE M BLOOM

SIOUX FALLS, SD
NPI1316343536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SD  3131)
Enumeration Date2014-11-16
Last Update Date2014-11-16
Business Address
-- KATIE M BLOOM LCSW-PIP
1710 W 18TH ST
SIOUX FALLS, SD 57104-4527
Phone number: 605-338-3639
Mailing Address
-- KATIE M BLOOM LCSW-PIP
1710 W 18TH ST
SIOUX FALLS, SD 57104-4527
Phone number: 605-338-3639
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