Individual
PETER JOHN BASONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P-LCSW
Contact information
Practice address
1000 N 1ST ST, ALBEMARLE, NC 28001-2833
(704) 983-2117
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P-005027
NC
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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