Individual
PETERSON BAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MIDDLETON RD, DANVERS, MA 01923-4000
(978) 739-7638
(978) 774-4814
Mailing address
111 MIDDLETON RD, DANVERS, MA 01923-4000
(978) 739-7638
(978) 774-4814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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