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1528118684
BASHA ALEXANDRA CLOSIC
WILMINGTON, DE
NPI
1528118684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- BASHA ALEXANDRA CLOSIC
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-655-9880
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Mailing Address
-- BASHA ALEXANDRA CLOSIC
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-655-9880
Copy
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