Individual
ANN BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
288 RUES LN, EAST BRUNSWICK, NJ 08816-5699
(732) 257-6100
Mailing address
319 MAPLE ST, ATTN AVAZQUEZ, PERTH AMBOY, NJ 08861-4101
(732) 324-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05162500
NJ
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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