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1942322052
ROBERT JEFFREY BLOOM
PLACERVILLE, CA
NPI
1942322052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs14644)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- ROBERT JEFFREY BLOOM LCSW
344 PLACERVILLE DR STE 17
PLACERVILLE, CA 95667-3972
Phone number: 530-621-6332
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Mailing Address
-- ROBERT JEFFREY BLOOM LCSW
3082 WILTSE RD
PLACERVILLE, CA 95667-5924
Phone number: 530-621-2093
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