Organization
BUD TO BLOOM PLAY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BERGER LCSW (CHILD AND FAMILY THERAPIST, OWNER)
(248) 302-9234
Entity
Organization
Contact information
Practice address
2929 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1545
(314) 912-7294
Mailing address
2929 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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