| Life In Bloom Services Pllc | |
|
1016 Se 12th St College Place WA 99324-1844 | |
| (509) 240-6296 | |
| Not Available |
| Full Name | Life In Bloom Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1016 Se 12th St, College Place, Washington |
| Authorized Official Name and Position | Bobbie Sue Schutter (OWNER) |
| Authorized Official Contact | 5093017300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life In Bloom Services Pllc 500 S College Ave Unit 241 College Place WA 99324-0909 Ph: (509) 240-6296 | Life In Bloom Services Pllc 1016 Se 12th St College Place WA 99324-1844 Ph: (509) 240-6296 |
| NPI Number | 1497345326 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497345326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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