MR. Michael P Basta, MSW
NPI #1720155799 in Sonoma, California
Provider Information
- NPI Number
- 1720155799
- Entity Type
- Individual
- Name
- MR. Michael P Basta, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 793 1ST ST W
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-7036
- Phone
- (707) 935-6739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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