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Organization
MOSAIC BLOOM COUNSELING LLC
Active
Organization
MOSAIC BLOOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA JANINNE BOLDEN MSW, LCSW (OWNER)
(267) 227-0122
Entity
Organization
Contact information
Practice address
8302 OLD YORK RD STE B1, ELKINS PARK, PA 19027-1529
(267) 227-0122
Mailing address
8302 OLD YORK RD STE B1, ELKINS PARK, PA 19027-1529
(267) 227-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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