Individual
MARCY B BASILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 MARYSVILLE BLVD, SACRAMENTO, CA 95838-1600
(916) 268-2500
Mailing address
2208 FRUITRIDGE RD, SACRAMENTO, CA 95822-3130
(916) 268-2500
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
118617
CA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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