Individual
JANE MARIE BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 HENRY ST, PORT HURON, MI 48060-2526
(810) 987-9700
Mailing address
5415 BASLER RD, CARSONVILLE, MI 48419-9796
(810) 657-9240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802003180
MI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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