DOREEN ESTELLA BASCOM

PLANT CITY, FL
NPI1952977431
Professional NameDOREEN E BASCOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH20921)
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
DOREEN ESTELLA BASCOM
1001 E BAKER ST
PLANT CITY, FL 33563-3700
Phone number: 813-754-5555
Mailing Address
DOREEN ESTELLA BASCOM
7603 LA MESITA CT
TAMPA, FL 33615-2422
Phone number: 646-468-7255