Gwen S. Bloom Lcsw LLC

NPI #1558895003 in Branchburg, New Jersey

Provider Information

NPI Number
1558895003
Entity Type
Organization
Organization Name
Gwen S. Bloom Lcsw LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 11, 2017
Last Updated
Mar 2, 2018

Practice Location

Address
3322 ROUTE 22
Address 2
SUITE 428
ZIP Code
08876-3476
Phone
(732) 501-5917

Authorized Official

Name
GWEN SUSAN BLOOM, LCSW
Title
OWNER
Phone
(732) 501-5917

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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