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1144793423
CARISSA DEANNA BASILE
MILWAUKEE, WI
NPI
1144793423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
CARISSA DEANNA BASILE
525 N 6TH ST
MILWAUKEE, WI 53203
Phone number: 818-303-6524
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Mailing Address
CARISSA DEANNA BASILE
5206 S 76TH ST APT B302
GREENDALE, WI 53129-1175
Phone number: 818-303-6524
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