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IN BLOOM THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAYLOR NICOLE JULIETTE GENTRY LMSW (PSYCHOTHERAPIST)
(785) 218-7133
Entity
Organization

Contact information

Practice address
2740 MEADOW DR, LAWRENCE, KS 66047-3237
(785) 218-7133
Mailing address
2740 MEADOW DR, LAWRENCE, KS 66047-3237
(785) 218-7133

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/16/2026
Last updated
07/16/2026
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