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1912565524
BETHANY BASINGER COBURN
DAVIS, CA
NPI
1912565524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61298)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
BETHANY BASINGER COBURN LCSW
1627 OAK AVE STE C
DAVIS, CA 95616-1072
Phone number: 773-678-9975
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Mailing Address
BETHANY BASINGER COBURN LCSW
2114 POLLOCK CT
DAVIS, CA 95618-7620
Phone number: 773-678-9975
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