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Organization
PLUM BLOSSOM THERAPEUTIC SERVICES LLC
Active
Organization
PLUM BLOSSOM THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MEDINA (OWNER)
(860) 970-3901
Entity
Organization
Contact information
Practice address
30 MAPLE AVE STE B-2, WINDSOR, CT 06095-2922
(860) 553-5428
Mailing address
52 COLLIMORE RD, EAST HARTFORD, CT 06108-1006
(860) 970-3901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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