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1497810683
JUDITH F. BLOOM
OLD SAYBROOK, CT
NPI
1497810683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01344)
Enumeration Date
2006-12-27
Last Update Date
2013-08-09
Business Address
-- JUDITH F. BLOOM LICSW
20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475-4214
Phone number: 800-370-3651
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Mailing Address
-- JUDITH F. BLOOM LICSW
10 GROTTO AVE
PROVIDENCE, RI 02906-5517
Phone number: 401-450-5916
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