-- GWEN BLOOM -- LCSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1043415599- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 3322 RTE 22 STE 428, BRANCHBURG, NJ, 088763395
- Phone
- (732) 501-5917
Specialties & Taxonomies
Social Worker
Primary License: NJ #44SC05137300
All Addresses
MAILING
655 E JERSEY ST DEPT. BEHAVIORAL HEALTH & PSYCHIATRY
ELIZABETH, NJ, 072061259