Individual
JAIME LEE BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1691 ROUTE 9, TOMS RIVER, NJ 08755-1245
(732) 914-3848
Mailing address
1691 ROUTE 9, TOMS RIVER, NJ 08755-1245
(732) 914-3848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05769000
NJ
Other
Enumeration date
02/28/2018
Last updated
07/08/2020
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