Blossom Services Group Llc | |
1042 14th Ave E Ste 210 West Fargo ND 58078-3363 | |
(701) 541-9884 | |
Not Available |
Full Name | Blossom Services Group Llc |
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Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 1042 14th Ave E Ste 210, West Fargo, North Dakota |
Authorized Official Name and Position | Sahr Thomas (FOUNDER/OWNER) |
Authorized Official Contact | 7015418884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blossom Services Group Llc 2046 Ruttan Ct West Fargo ND 58078-4258 Ph: (701) 541-9884 | Blossom Services Group Llc 1042 14th Ave E Ste 210 West Fargo ND 58078-3363 Ph: (701) 541-9884 |
NPI Number | 1104790989 |
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Provider Enumeration Date | 10/03/2025 |
Last Update Date | 10/03/2025 |
Certification Date | 10/03/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104790989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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