JACQUELINE R BASENER

RAPID CITY, SD
NPI1215315049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
-- JACQUELINE R BASENER LPC-MH, LAC
1520 HAINES AVE SUITE 6
RAPID CITY, SD 57701
Phone number: 605-716-7841
Mailing Address
-- JACQUELINE R BASENER LPC-MH, LAC
1520 HAINES AVE SUITE 6
RAPID CITY, SD 57701
Phone number: 605-716-7841
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