Individual
ANTOINETTE L BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
21 WEST OMAHA STREET, WASHBURN, WI 54891-0036
(715) 373-0160
(715) 373-0162
Mailing address
21 WEST OMAHA STREET, WASHBURN, WI 54891-0036
(715) 373-0160
(715) 373-0162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43592400
—
WI
Enumeration date
05/24/2007
Last updated
07/09/2007
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