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1669942975
VICTORIA MARIE BASSO
ORMOND BEACH, FL
NPI
1669942975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
VICTORIA MARIE BASSO NCC, CCJTS
533 N NOVA RD STE 204
ORMOND BEACH, FL 32174-4422
Phone number: 386-898-5003
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Mailing Address
VICTORIA MARIE BASSO NCC, CCJTS
5400 CORACI BLVD APT 10304
PORT ORANGE, FL 32128-7589
Phone number: 410-991-8589
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