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Organization
INTEGRAL BLOOM, INC.
Active
Organization
INTEGRAL BLOOM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA CAMILLE MELLANO LICSW (OWNER, PRESIDENT)
(617) 913-3898
Entity
Organization
Contact information
Practice address
100 SUMMER ST STE 1600, BOSTON, MA 02110-2104
(857) 231-0376
(617) 412-3135
Mailing address
525 COMMON ST # H101, BELMONT, MA 02478-4454
(617) 913-3898
(617) 412-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111055
MA
Other
Enumeration date
12/31/2014
Last updated
09/29/2023
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