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1417955659
STEPHANIE L. BASHAM
SPRINGFIELD, MO
NPI
1417955659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 002124)
Enumeration Date
2005-07-12
Last Update Date
2007-07-08
Business Address
-- STEPHANIE L. BASHAM LPC
1300 E BRADFORD PKWY BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804-4264
Phone number: 417-269-5400
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Mailing Address
-- STEPHANIE L. BASHAM LPC
1300 E BRADFORD PKWY BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804-4264
Phone number: 417-269-5400
Copy
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