CARRIE BERNICE BLOOM

FAIRFIELD, CA
NPI1992865224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
-- CARRIE BERNICE BLOOM
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2140
Mailing Address
-- CARRIE BERNICE BLOOM
142 DEL LOMA CT
VACAVILLE, CA 95687-9478
Phone number: 707-447-5238
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