Individual
RONALD E. BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
590 S OCOTILLO AVE, BENSON, AZ 85602-6405
(800) 586-7080
(520) 586-3163
Mailing address
489 N ARROYO BLVD, NOGALES, AZ 85621-2644
(520) 287-4713
(520) 287-9794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW5070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW5070
LCSW LICENSE
AZ
Enumeration date
05/19/2006
Last updated
02/19/2016
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