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MS. ERIN B BASTIAN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497979926

Individual Registrant:
MS. ERIN B BASTIAN LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
29804 ROAD 210  EXETER, CA 93221-9768 US
Tel: 559-592-4525  Fax: --

Contact information for business:
29804 ROAD 210  EXETER, CA 93221-9768 US
Tel: 559-592-4525  Fax: --

Registration Information:
NPI: 1497979926
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA21720

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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