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1427708353
SHANA LEE BLOOM
WESTERLY, RI
NPI
1427708353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC01342)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
SHANA LEE BLOOM LMHC
5 CHRISTOPHER RD
WESTERLY, RI 02891-2675
Phone number: 401-578-1992
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Mailing Address
SHANA LEE BLOOM LMHC
5 CHRISTOPHER RD
WESTERLY, RI 02891-2675
Phone number: 401-578-1992
Copy
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