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Individual
MRS. LUCINDA JANE BASSILI
Active
Individual
MRS. LUCINDA JANE BASSILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188190769
GROUP PTAN: TXB139015
TX
01
—
1912094327
INDIVIDUAL PTAN: TXB139016
TX
Enumeration date
10/06/2006
Last updated
06/18/2012
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