MRS. Randi Bloom-Brazer, LCSW
NPI #1740466929 in St Augustine, Florida
Provider Information
- NPI Number
- 1740466929
- Entity Type
- Individual
- Name
- MRS. Randi Bloom-Brazer, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 17, 2008
- Last Updated
- Jan 17, 2008
Practice Location
- Address
- 165 SOUTHPARK BLVD
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-4101
- Phone
- (904) 824-7597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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