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1831646439
JACQUELINE MARIE BASILE
PHILADELPHIA, PA
NPI
1831646439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW016836)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- JACQUELINE MARIE BASILE LCSW
4200 MONUMENT RD
PHILADELPHIA, PA 19131-1625
Phone number: 215-581-3748
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Mailing Address
-- JACQUELINE MARIE BASILE LCSW
4200 MONUMENT RD
PHILADELPHIA, PA 19131-1625
Phone number: 215-581-3748
Copy
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