Individual
MISS ANNA ELIZABETH BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6825
(517) 237-7350
Mailing address
4227 WATSON AVE, HOLT, MI 48842-1731
(989) 506-2976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
N162770
MI
104100000X
Social Worker
Primary
6801103339
MI
Other
Enumeration date
03/12/2018
Last updated
02/20/2025
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