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1952794950
KATHLEEN BLOOM
GRAND RAPIDS, MI
NPI
1952794950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6401001493)
Enumeration Date
2015-03-15
Last Update Date
2015-03-15
Business Address
KATHLEEN BLOOM
1558 PINE AVE NW
GRAND RAPIDS, MI 49504-3029
Phone number: 616-901-2777
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Mailing Address
KATHLEEN BLOOM
1558 PINE AVE NW
GRAND RAPIDS, MI 49504-3029
Phone number: 616-901-2777
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