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1700179090
LEE AMES BASCOM
SAINT LOUIS, MO
NPI
1700179090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2004031739)
Enumeration Date
2011-05-19
Last Update Date
2021-01-31
Business Address
Ms. LEE AMES BASCOM MSW, LCSW
1121 OLIVETTE EXECUTIVE PWKY STE 205
SAINT LOUIS, MO 63132-1641
Phone number: 314-991-9058
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Mailing Address
Ms. LEE AMES BASCOM MSW, LCSW
841 N KIRKWOOD ROAD
SAINT LOUIS, MO 63122-2639
Phone number: 360-628-8612
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