Individual
JOI CATRICE BASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2974
Mailing address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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