BRENT ANTONY BASILE

LAKEWOOD, OH
NPI1447378443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.0700026)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Mr. BRENT ANTONY BASILE LISW
1629 ONONDAGA AVE
LAKEWOOD, OH 44107-4310
Phone number: 216-374-8382
Mailing Address
Mr. BRENT ANTONY BASILE LISW
1629 ONONDAGA AVE
LAKEWOOD, OH 44107-4310
Phone number: 216-374-8382
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