Organization
BRENT A. BASILE, MSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT ANTONY BASILE LISW (CLINICAL SOCIAL WORKER)
(216) 374-8382
Entity
Organization
Contact information
Practice address
20800 CENTER RIDGE RD, SUITE 324, ROCKY RIVER, OH 44116-4312
(216) 374-8382
Mailing address
20613 BEACONSFIELD BLVD, ROCKY RIVER, OH 44116-1307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700026
OH
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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