Tricia Bastian

NPI #1295291573 in Walker, Minnesota

Provider Information

NPI Number: 1295291573
Entity Type: Individual
Name: Tricia Bastian
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 12, 2019
Last Updated: Feb 12, 2019

Practice Location

Address: 607 4TH ST S
City: Walker
State: Minnesota
ZIP Code: 56484-6400
Phone: (218) 251-1365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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