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Organization
THE BLOOM THERAPY, PLLC
Active
Organization
THE BLOOM THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA DAVIS LCSWA (MENTAL HEALTH CLINICIAN)
(704) 726-3550
Entity
Organization
Contact information
Practice address
208 NEWBURG LN, MATTHEWS, NC 28105-5710
(704) 726-3550
Mailing address
208 NEWBURG LN, MATTHEWS, NC 28105-5710
(704) 726-3550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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