MATTHEW BLOOM

ENFIELD, CT
NPI1538492590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
-- MATTHEW BLOOM
47 PALOMBA DR
ENFIELD, CT 06082-3868
Phone number: 860-253-5020
Mailing Address
-- MATTHEW BLOOM
47 PALOMBA DR
ENFIELD, CT 06082-3868
Phone number: 860-253-5020