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1104045640
BRIGITTE BASIS
FAR ROCKAWAY, NY
NPI
1104045640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R038038-1)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
BRIGITTE BASIS LCSW
521 BEACH 20 STREET
FAR ROCKAWAY, NY 11691
Phone number: 718-869-8822
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Mailing Address
BRIGITTE BASIS LCSW
15020 71ST AVE APT 6L
FLUSHING, NY 11367-2118
Phone number: 718-474-2478
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