Bradley W Bloom Lcsw LLC

NPI #1992983027 in Fairfield, Connecticut

Provider Information

NPI Number: 1992983027
Entity Type: Organization
Organization Name: Bradley W Bloom Lcsw LLC
Primary Specialty: Social Worker
Enumeration Date: Jan 31, 2008
Last Updated: Sep 8, 2009

Practice Location

Address: 110 OLDFIELD DR
City: Fairfield
State: Connecticut
ZIP Code: 06824-6414
Phone: (203) 451-1599

Authorized Official

Name: MR. BRADLEY WARREN BLOOM, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (203) 451-1599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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