Organization
BLOSSOM LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADYWINNIE AMOO ALLISON (DIRECTOR)
(619) 578-8416
Entity
Organization
Contact information
Practice address
5441 E 22ND ST, TUCSON, AZ 85711-5441
(619) 578-8416
(520) 844-6840
Mailing address
2261 S QUAIL HOLLOW DR, TUCSON, AZ 85710-7982
(619) 578-8416
(520) 844-6840
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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