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Individual

MR. CHRISTOPHER PAUL BASCONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084809
NY

Other

Enumeration date
04/04/2012
Last updated
01/29/2019
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