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1952977431
DOREEN ESTELLA BASCOM
PLANT CITY, FL
NPI
1952977431
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Professional Name
DOREEN E BASCOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH20921)
Enumeration Date
2021-06-03
Last Update Date
2021-06-03
Business Address
DOREEN ESTELLA BASCOM
1001 E BAKER ST
PLANT CITY, FL 33563-3700
Phone number: 813-754-5555
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Mailing Address
DOREEN ESTELLA BASCOM
7603 LA MESITA CT
TAMPA, FL 33615-2422
Phone number: 646-468-7255
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