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1235434200
NICOLE LEE BASCHLEBEN
COTTAGE GROVE, OR
NPI
1235434200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11301)
Enumeration Date
2011-01-21
Last Update Date
2024-08-07
Business Address
NICOLE LEE BASCHLEBEN LCSW
37 N 6TH ST
COTTAGE GROVE, OR 97424-2012
Phone number: 541-623-6053
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Mailing Address
NICOLE LEE BASCHLEBEN LCSW
1345 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-3939
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