JOVONNIE BASHAW

SPRINGFIELD, OR
NPI1902275464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- JOVONNIE BASHAW B.S.
1157 5TH ST
SPRINGFIELD, OR 97477
Phone number: 541-510-2871
Mailing Address
-- JOVONNIE BASHAW B.S.
1157 5TH ST
SPRINGFIELD, OR 97477
Phone number: 541-510-2871
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