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1396272142
VICTORIA BLOM
ELIZABETH, NJ
NPI
1396272142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05683600)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
Ms. VICTORIA BLOM LCSW
654 E JERSEY ST SUITE 150C
ELIZABETH, NJ 07206-1261
Phone number: 413-885-5763
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Mailing Address
Ms. VICTORIA BLOM LCSW
115 S CLINTON ST APT. 305
EAST ORANGE, NJ 07018-3051
Phone number: 413-885-5763
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