| NPI | 1477799567 |
|---|---|
| Former Legal Business Name | RICHARD H. BASHAW LCSW, LLC AND ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RICHARD HOLLIS BASHAW Agency Manager 801-918-9688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 0683) |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2008-12-20 |