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1740976711
BLOSSOM CHILD THERAPY PLLC
DAVIDSON, NC
NPI
1740976711
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Entity Type
Organization
Authorized Contact
KELLEY COCK
Manager
704-965-2142
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
BLOSSOM CHILD THERAPY PLLC
107 N MAIN ST
DAVIDSON, NC 28036-9402
Phone number: 704-965-2142
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Mailing Address
BLOSSOM CHILD THERAPY PLLC
430 DELBURG ST
DAVIDSON, NC 28036-6945
Phone number:
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