MARY E BASHAM

BROOKFIELD, WI
NPI1447346465
Former NameMARY C. GERSTNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WI  468-124)
Enumeration Date2006-10-05
Last Update Date2008-09-24
Business Address
-- MARY E BASHAM LMFT
16535 W BLUEMOUND RD SUITE 200
BROOKFIELD, WI 53005-5936
Phone number: 262-542-3255
Mailing Address
-- MARY E BASHAM LMFT
2350 WOODMOOR LN
BROOKFIELD, WI 53045-4259
Phone number: 262-796-1045
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