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1285801654
LAURA MARIE BASTOW
DAYTONA BEACH, FL
NPI
1285801654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 8973)
Enumeration Date
2008-05-14
Last Update Date
2012-08-08
Business Address
Mrs. LAURA MARIE BASTOW LMHC, MS
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number: 386-562-0216
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Mailing Address
Mrs. LAURA MARIE BASTOW LMHC, MS
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number: 386-562-0216
Copy
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