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1538492590
MATTHEW BLOOM
ENFIELD, CT
NPI
1538492590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-09
Last Update Date
2009-09-09
Business Address
-- MATTHEW BLOOM
47 PALOMBA DR
ENFIELD, CT 06082-3868
Phone number: 860-253-5020
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Mailing Address
-- MATTHEW BLOOM
47 PALOMBA DR
ENFIELD, CT 06082-3868
Phone number: 860-253-5020
Copy
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