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Organization

CAROLYN EDWARDS BASILIERE LLC

Active
Other names
Carolyn Basiliere
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROLYN EDWARDS BASILIERE PHD (PSYCHOLOGIST)
(802) 657-3647
Entity
Organization

Contact information

Practice address
156 COLLEGE ST STE 201, BURLINGTON, VT 05401-8423
(802) 657-3647
(802) 860-0183
Mailing address
11 SIMPSON CT, SOUTH BURLINGTON, VT 05403-6326
(802) 657-3647
(802) 860-0183

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
09/08/2021
Last updated
09/08/2021
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