Individual
LAUREN BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 E THOMAS RD # 100, PHOENIX, AZ 85016-8220
(602) 957-2507
Mailing address
6816 E WETHERSFIELD RD, SCOTTSDALE, AZ 85254-5360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
AZ
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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