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1023543840
DANIEL BASCH
SANTA ROSA, CA
NPI
1023543840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-30
Last Update Date
2017-04-30
Business Address
-- DANIEL BASCH
534 B ST
SANTA ROSA, CA 95401-5211
Phone number: 707-579-0465
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Mailing Address
-- DANIEL BASCH
534 B ST
SANTA ROSA, CA 95401-5211
Phone number:
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