TERRY BASOLO

SEATTLE, WA
NPI1336527027
Professional NameTERRANCE BLAINE BASOLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
-- TERRY BASOLO MPA, MA
1000 MINOR AVE APT 1404
SEATTLE, WA 98104-1398
Phone number: 208-720-6253
Mailing Address
-- TERRY BASOLO MPA, MA
1000 MINOR AVE APT 1404
SEATTLE, WA 98104-1398
Phone number: 208-720-6253
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