Amy E Bloom, LISW
NPI #1972659621 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1972659621
- Entity Type
- Individual
- Name
- Amy E Bloom, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1925 ASPEN DRIVE
- Address 2
- SUITE 100B
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-5579
- Phone
- (505) 474-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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