Bloom-Brazer, Randi

Bloom-Brazer, Randi is an sole proprietor health care provider with primary practice located at 165 Southpark Blvd , St Augustine FL 32086-4101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom-Brazer, Randi can be contacted via phone (904) 824-7597.

Contact Information

Primary practice address
165 Southpark Blvd St Augustine FL 32086-4101
Phone: (904) 824-7597
Fax: (904) 824-7598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 5042 Florida

Profile Details

NPI number 1740466929
LBN Legal business name Bloom-Brazer, Randi
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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