| Torus Bloom, Llc | |
|
100 Wells St Suite 1a Hartford CT 06103-2928 | |
| (860) 266-6238 | |
| Not Available |
| Full Name | Torus Bloom, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Wells St, Hartford, Connecticut |
| Authorized Official Name and Position | Daune Alexandria Kemp (DIRECTOR) |
| Authorized Official Contact | 8602666238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Torus Bloom, Llc 100 Wells St Suite 1a Hartford CT 06103-2928 Ph: (860) 266-6238 | Torus Bloom, Llc 100 Wells St Suite 1a Hartford CT 06103-2928 Ph: (860) 266-6238 |
| NPI Number | 1003191321 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001181 (Connecticut) | Primary |
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