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Individual
MISS STEPHANIE LYNN BASILIAS
Active
Individual
MISS STEPHANIE LYNN BASILIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68010595956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265814495
NPI
WA
Enumeration date
06/24/2015
Last updated
07/24/2023
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