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1720144306
PETER BLOOM
ALEXANDRIA, VA
NPI
1720144306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810000667)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Dr. PETER BLOOM Ph.D.
1707 BELLE VIEW BLVD
ALEXANDRIA, VA 22307-6727
Phone number: 703-765-5675
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Mailing Address
Dr. PETER BLOOM Ph.D.
1707 BELLE VIEW BLVD
ALEXANDRIA, VA 22307-6727
Phone number: 703-765-5675
Copy
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