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Organization
BLOOM THERAPY LLC
Active
Organization
BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA PAVLOVIC LCSW (OWNER)
(208) 420-5336
Entity
Organization
Contact information
Practice address
112 SHOSHONE ST. E.SUITE 210, TWIN FALLS, ID 83301-8330
(208) 420-5336
Mailing address
847 SUN PEAK WAY, TWIN FALLS, ID 83301-8977
(208) 420-5336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/03/2023
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