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1265690036
JOHN A. BASILICE
CHARLOTTE, NC
NPI
1265690036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC 2465)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
MR. JOHN A. BASILICE LPC
700 E STONEWALL ST SUITE 704
CHARLOTTE, NC 28202-2778
Phone number: 980-343-2604
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Mailing Address
MR. JOHN A. BASILICE LPC
6627 BURKWOOD CT
HARRISBURG, NC 28075-6713
Phone number: 704-299-1132
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