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1467474924
STEWART RICHARD BLOOM
SACRAMENTO, CA
NPI
1467474924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 14645)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mr. STEWART RICHARD BLOOM M.S.W.
3650A AUBURN BOULEVARD SUITE 200
SACRAMENTO, CA 95821
Phone number: 916-479-5047
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Mailing Address
Mr. STEWART RICHARD BLOOM M.S.W.
6204 JEFJEN WAY
ELK GROVE, CA 95757-5992
Phone number: 916-479-5047
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