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1780450056
MARISA DAWN BASHORE
ANCHORAGE, AK
NPI
1780450056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 163828)
Enumeration Date
2023-11-28
Last Update Date
2023-12-01
Business Address
MARISA DAWN BASHORE LPC
9940 CHELATNA CIR
ANCHORAGE, AK 99515-1477
Phone number: 907-302-1070
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Mailing Address
MARISA DAWN BASHORE LPC
9940 CHELATNA CIR
ANCHORAGE, AK 99515-1477
Phone number: 907-302-1070
Copy
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