BASILE BAZINA

BROCKTON, MA
NPI1093062754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-08-12
Last Update Date2012-08-12
Business Address
Mr. BASILE BAZINA M.ED.
142 CRESCENT ST SECOND FLOOR
BROCKTON, MA 02302-3104
Phone number: 508-941-0005
Mailing Address
Mr. BASILE BAZINA M.ED.
PO BOX 2072
BROCKTON, MA 02305-2072
Phone number: 774-826-7416
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