SHANTEL MARIE BASURTO LISW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1871964007- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LISW
- Status
- Active
Contact & Location
- Address
- 3316 CEDAR HEIGHTS DR SUITE A, CEDAR FALLS, IA, 506136083
- Phone
- (319) 504-4593
- Fax
- (319) 274-9147
Specialties & Taxonomies
Social Worker, Clinical
Primary License: IA #008183