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1225472285
DOMINIC MICHAEL BASTINELLI
LEAVENWORTH, KS
NPI
1225472285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 4504)
Enumeration Date
2013-04-22
Last Update Date
2017-03-14
Business Address
Mr. DOMINIC MICHAEL BASTINELLI LSCSW
4101 S 4TH ST BLDG 160
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
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Mailing Address
Mr. DOMINIC MICHAEL BASTINELLI LSCSW
4101 S 4TH ST BLDG 160
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
Copy
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