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1093062754
BASILE BAZINA
BROCKTON, MA
NPI
1093062754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-12
Last Update Date
2012-08-12
Business Address
Mr. BASILE BAZINA M.ED.
142 CRESCENT ST SECOND FLOOR
BROCKTON, MA 02302-3104
Phone number: 508-941-0005
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Mailing Address
Mr. BASILE BAZINA M.ED.
PO BOX 2072
BROCKTON, MA 02305-2072
Phone number: 774-826-7416
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