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Organization

NURTURE AND BLOOM THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRETCHEN KLIPP LCSW (LICENSED CLINICAL SOCIAL WORKER)
(616) 218-3234
Entity
Organization

Contact information

Practice address
4129 NE 40TH AVE, PORTLAND, OR 97211-8233
(616) 218-3234
Mailing address
4129 NE 40TH AVE, PORTLAND, OR 97211-8233
(616) 218-3234

Taxonomy

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

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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