Individual
STACY BASARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2135 HIGHWAY 33, HAMILTON, NJ 08690-1740
(609) 588-9989
Mailing address
2135 HIGHWAY 33, HAMILTON, NJ 08690-1740
(609) 588-9989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00159500
NJ
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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