Organization
INFINITE BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL KERSHAW LSCSW (SOLE PROPRIETOR)
(785) 250-5002
Entity
Organization
Contact information
Practice address
2611 SW 17TH ST, TOPEKA, KS 66604-2603
(785) 250-5002
Mailing address
1115 SW LINCOLN ST, TOPEKA, KS 66604-1239
(785) 250-5002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
06/24/2024
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