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Individual
JAMIE M BASTON
Active
Individual
JAMIE M BASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8815
KY
104100000X
Social Worker
8815
SC
1041C0700X
Clinical Social Worker
Primary
8815
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
02/05/2007
Last updated
06/26/2020
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