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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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