Leslie Bloom
NPI #1255466538 in West Covina, California
Provider Information
- NPI Number
- 1255466538
- Entity Type
- Individual
- Name
- Leslie Bloom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1107 S GLENDORA AVE
- City
- West Covina
- State
- California
- ZIP Code
- 91790-4923
- Phone
- (626) 814-9085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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