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1376222984
BLOOM SPACE COUNSELING, PLLC
DIXON, IL
NPI
1376222984
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Entity Type
Organization
Authorized Contact
JESSICA WEST
Owner/Operator
815-677-6280
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
BLOOM SPACE COUNSELING, PLLC
315 S PEORIA AVE
DIXON, IL 61021-2956
Phone number: 815-677-6280
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Mailing Address
BLOOM SPACE COUNSELING, PLLC
446 RIVER BLUFF DR
DIXON, IL 61021-8768
Phone number: 815-677-6280
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