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1487678207
RICHARD BLOOM
SANTA ROSA, CA
NPI
1487678207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC19312)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Mr. RICHARD BLOOM MFT
865 3RD ST
SANTA ROSA, CA 95404-4515
Phone number: 707-665-0846
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Mailing Address
Mr. RICHARD BLOOM MFT
755 W SIERRA AVE
COTATI, CA 94931-4281
Phone number:
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