SHANTEL MARIE BASURTO

CEDAR FALLS, IA
NPI1871964007
Former NameSHANTEL MARIE LEARY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IA  008183)
Enumeration Date2015-10-14
Last Update Date2018-10-02
Business Address
SHANTEL MARIE BASURTO LISW
3316 CEDAR HEIGHTS DR SUITE A
CEDAR FALLS, IA 50613-6083
Phone number: 319-504-4593
Mailing Address
SHANTEL MARIE BASURTO LISW
3316 CEDAR HEIGHTS DR STE A
CEDAR FALLS, IA 50613-6083
Phone number: 319-504-4593
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