Individual
LAUREL MARIE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMFT-S
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
(216) 739-3638
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
F.1700019
OH
106H00000X
Marriage & Family Therapist
Primary
F.1700019-SUPV
OH
Other
Enumeration date
11/13/2008
Last updated
07/30/2019
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