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1225309677
MICHELLE ROSE BASHAW
SEBASTOPOL, CA
NPI
1225309677
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Other Name
MIMI ROSE BASHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 41623)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- MICHELLE ROSE BASHAW MFT
7385 HEALDSBURG AVE SUITE 203
SEBASTOPOL, CA 95472-3224
Phone number: 707-775-5909
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Mailing Address
-- MICHELLE ROSE BASHAW MFT
PO BOX 1662
SEBASTOPOL, CA 95473-1662
Phone number: 707-775-5909
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