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1326392531
LAURA BLOOM
SAINT CLAIR SHORES, MI
NPI
1326392531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801092345)
Enumeration Date
2012-11-09
Last Update Date
2017-04-02
Business Address
-- LAURA BLOOM LMSW
23409 JEFFERSON AVE SUITE 100
SAINT CLAIR SHORES, MI 48080-3449
Phone number: 313-590-4740
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Mailing Address
-- LAURA BLOOM LMSW
23409 JEFFERSON AVE SUITE 100
SAINT CLAIR SHORES, MI 48080-3449
Phone number: 313-590-4740
Copy
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