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1639739402
AMANDA JEANNINE BLOOM
SEATTLE, WA
NPI
1639739402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60969266)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
AMANDA JEANNINE BLOOM
3107 S DEARBORN ST
SEATTLE, WA 98144-3228
Phone number: 360-223-2073
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Mailing Address
AMANDA JEANNINE BLOOM
3107 S DEARBORN ST
SEATTLE, WA 98144-3228
Phone number: 360-223-2073
Copy
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