Individual
MRS. DEBORAH ANN BASILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 FAIRVIEW AVE, HAWTHORNE, NJ 07506-3013
(973) 427-5477
Mailing address
17 FAIRVIEW AVE, HAWTHORNE, NJ 07506-3013
(973) 427-5477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05415600
NJ
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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