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Individual

KATHERINE IRENE BASSIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9528 VALLETTA ST NW, ALBUQUERQUE, NM 87120-2996
(520) 249-0618
Mailing address
9528 VALLETTA ST NW, ALBUQUERQUE, NM 87120-2996

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0164321
NM
103K00000X
Behavior Analyst
103K00000X

Other

Enumeration date
10/28/2012
Last updated
02/12/2014
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