DOMINIC MICHAEL BASTINELLI

LEAVENWORTH, KS
NPI1225472285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  4504)
Enumeration Date2013-04-22
Last Update Date2017-03-14
Business Address
Mr. DOMINIC MICHAEL BASTINELLI LSCSW
4101 S 4TH ST BLDG 160
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
Mailing 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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