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1104248673
JENNIFER BASILONE
HAWTHORNE, NJ
NPI
1104248673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00467600)
Enumeration Date
2014-01-17
Last Update Date
2020-11-05
Business Address
JENNIFER BASILONE LPC
623 LAFAYETTE AVE STE 201F
HAWTHORNE, NJ 07506-2439
Phone number: 201-408-7005
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Mailing Address
JENNIFER BASILONE LPC
623 LAFAYETTE AVE STE 201-F
HAWTHORNE, NJ 07506-2439
Phone number: 201-408-7005
Copy
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