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1013121938
MICHELE MARIE BASILE
SAN DIEGO, CA
NPI
1013121938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 49443)
Enumeration Date
2007-05-09
Last Update Date
2011-03-15
Business Address
MICHELE MARIE BASILE LMFT
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-3045
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Mailing Address
MICHELE MARIE BASILE LMFT
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4661
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