Individual
MR. ANGEL RAFAEL BASABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED CLINICAL SO
Contact information
Practice address
313 N PLANKINTON AVE STE 207, MILWAUKEE, WI 53203-3104
(414) 677-0155
(414) 677-0153
Mailing address
PO BOX 320683, FRANKLIN, WI 53132-6111
(414) 677-0155
(414) 677-0153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2323123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39539200
—
WI
Enumeration date
06/07/2006
Last updated
07/20/2022
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