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1326517145
KELLY ANNE BASSIN
BERKELEY, CA
NPI
1326517145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: CA LMFT105552)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
KELLY ANNE BASSIN LMFT
1918 BONITA AVE
BERKELEY, CA 94704-1014
Phone number: 209-980-7707
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Mailing Address
KELLY ANNE BASSIN LMFT
1918 BONITA AVE
BERKELEY, CA 94704-1014
Phone number:
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