Individual
ANN MARIE BASTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
145 W GREEN MEADOWS DR, GREENFIELD, IN 46140-4001
(317) 462-1481
Mailing address
8180 CLEARVISTA PKWY, 230, INDIANAPOLIS, IN 46256-5629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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