SearchMissouri1041C0700X

Lee Bascom, MSW, LCSW

NPI 1700179090 · on the registry since 2011 · sole proprietor

Practice

Address
1121 Olivette Executive Pwky Ste 205
Saint Louis, MO 63132
Phone
(314) 991-9058
Fax
(314) 993-2050

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri