Organization
BLOOM WITH GRACE, PLLC
Active
Organization
BLOOM WITH GRACE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MOORE LCSW (OWNER)
(919) 578-2725
Entity
Organization
Contact information
Practice address
600 PARK OFFICES DR STE 300, DURHAM, NC 27709-1012
(919) 578-2725
Mailing address
600 PARK OFFICES DR STE 300, DURHAM, NC 27709-1012
(919) 578-2725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
02/26/2024
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