MARISSA BASEDOW

DIX HILLS, NY
NPI1215407895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  101965)
Enumeration Date2018-11-27
Last Update Date2018-11-27
Business Address
MARISSA BASEDOW
151 BURRS LANE
DIX HILLS, NY 11746
Phone number: 631-643-8800
Mailing Address
MARISSA BASEDOW
17 GATES AVE
PLAINVIEW, NY 11803
Phone number: 516-512-3770
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