MRS. RANDI BLOOM-BRAZER, LCSW

Social Worker - Clinical

Active Individual
NPI: 1740466929

Practice Address

165 SOUTHPARK BLVD
St Augustine, FL 32086

Phone: (904) 824-7597

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes SW 5042 (FL)

Frequently Asked Questions

NPI 1740466929 is the National Provider Identifier for MRS. RANDI BLOOM-BRAZER, LCSW, a Social Worker - Clinical provider located in St Augustine, FL. This NPI was enumerated on January 17, 2008.
MRS. RANDI BLOOM-BRAZER, LCSW practices at 165 SOUTHPARK BLVD, St Augustine, FL 32086.

Quick Facts

NPI
1740466929
Type
Individual
Enumerated
Jan 17, 2008
Last Updated
Jan 17, 2008

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