FAITH BASOLO

CARTERVILLE, IL
NPI1760835151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057003132)
Enumeration Date2016-07-20
Last Update Date2021-12-03
Business Address
FAITH BASOLO COTA/L
403 MUNICIPAL DR
CARTERVILLE, IL 62918-2042
Phone number: 855-608-3560
Mailing Address
FAITH BASOLO COTA/L
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483