Bloom, Ellen Marcie
Bloom, Ellen Marcie is an individual health care provider with primary practice located at Madigan Army Medical Center, 9040 Reid St. Attn:Mchj-Qcr, Tacoma WA 98431-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Ellen Marcie can be contacted via phone (253) 968-6546.Contact Information
Primary practice address
Madigan Army Medical Center, 9040 Reid St. Attn:Mchj-Qcr
Tacoma WA 98431-0001
Phone: (253) 968-6546
Fax: (253) 968-5602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05175800 | New Jersey |
Profile Details
| NPI number | 1538133400 |
|---|---|
| LBN Legal business name | Bloom, Ellen Marcie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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