Bloom, Laura
Bloom, Laura is an individual health care provider with primary practice located at 23409 Jefferson Ave Suite 100, Saint Clair Shores MI 48080-3449. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Laura can be contacted via phone (313) 590-4740.Contact Information
Primary practice address
23409 Jefferson Ave Suite 100
Saint Clair Shores MI 48080-3449
Phone: (313) 590-4740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801092345 | Michigan |
Profile Details
| NPI number | 1326392531 |
|---|---|
| LBN Legal business name | Bloom, Laura |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2012 |
| Last updated | Apr 2nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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