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Organization

BRIDGE & BLOOM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEYDRA JOHNSON LICSW (OWNER/CLINIC DIRECTOR)
(202) 465-6622
Entity
Organization

Contact information

Practice address
6218 GEORGIA AVE NW APT 1, WASHINGTON, DC 20011-5125
(202) 465-6622
(202) 217-4902
Mailing address
6218 GEORGIA AVE NW APT 1, WASHINGTON, DC 20011-5125
(202) 465-6622
(202) 217-4902

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/19/2026
Last updated
02/19/2026
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