Bradley Warren Bloom
Bradley Warren Bloom is a Clinical Social Worker in Southport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.
- Licensed in
- CT
- In the registry since
- 2025
Practice location Address checks out
1101 Mill Hill RdSouthport, CT 06890-3020
Phone: (203) 451-1599
Fax: (203) 451-1599
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 005722 (CT) |
|---|
Record details
| NPI number | 1285424804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 7, 2025 |
| Last updated in NPPES | May 7, 2025 |
| Certification date | May 7, 2025 |
| Mailing address | 1101 Mill Hill Rd, Southport, CT 06890-3020 |
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