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1952705402
FARZANEH BASCOM
LAKEWOOD, WA
NPI
1952705402
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Former Name
FARZANEH SARDARPOOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
-- FARZANEH BASCOM BS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
-- FARZANEH BASCOM BS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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