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1487948972
AUDREY BLOOM
MIAMI, FL
NPI
1487948972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 10388)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
Ms. AUDREY BLOOM LCSW
2000 S DIXIE HWY SUITE 104, COCONUT GROVE CENTER
MIAMI, FL 33133-2456
Phone number: 305-301-8251
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Mailing Address
Ms. AUDREY BLOOM LCSW
17142 SW 112TH CT
MIAMI, FL 33157-3907
Phone number: 305-301-8251
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