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Individual

CHARLOTTE BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4219 SW JUNEAU ST, SEATTLE, WA 98136-1621
(206) 841-1198
Mailing address
4219 SW JUNEAU ST, SEATTLE, WA 98136-1621
(206) 841-1198

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/06/2022
Last updated
04/18/2024
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