Organization
BRENT A. BASILE, MSW, LLC
Active
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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