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1427759406
KRISTIN BLOOMER ARCHDEACON
SAN JOSE, CA
NPI
1427759406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCSW80860)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
KRISTIN BLOOMER ARCHDEACON LCSW
725 E SANTA CLARA ST STE 105
SAN JOSE, CA 95112-1936
Phone number: 408-961-4645
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Mailing Address
KRISTIN BLOOMER ARCHDEACON LCSW
55 S 14TH ST # 2
SAN JOSE, CA 95112-2016
Phone number: 408-829-2673
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