Individual
SARA R. BASHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 W MAIN AVE, SUITE 225, BISMARCK, ND 58501-3873
(701) 751-4122
(701) 751-1728
Mailing address
107 W MAIN AVE, SUITE 225, BISMARCK, ND 58501-3873
(701) 751-4122
(701) 751-1728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4308
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19270
—
ND
Enumeration date
07/02/2009
Last updated
06/26/2023
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