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1215125695
ANN BASIL
EAST BRUNSWICK, NJ
NPI
1215125695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05162500)
Enumeration Date
2007-10-10
Last Update Date
2007-10-10
Business Address
-- ANN BASIL LCSW
288 RUES LN
EAST BRUNSWICK, NJ 08816-5699
Phone number: 732-257-6100
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Mailing Address
-- ANN BASIL LCSW
319 MAPLE ST ATTN AVAZQUEZ
PERTH AMBOY, NJ 08861-4101
Phone number: 732-324-8200
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