Organization
BLOSSOM METHOD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIVA COHEN (OWNER)
(773) 607-9272
Entity
Organization
Contact information
Practice address
233 E ERIE ST, SUITE 306, CHICAGO, IL 60611-2926
(312) 854-0061
Mailing address
PO BOX 578220, CHICAGO, IL 60657-7303
(312) 854-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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