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1902914476
MARYANN BASISTA
DOWNERS GROVE, IL
NPI
1902914476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 149 006503)
Enumeration Date
2006-08-26
Last Update Date
2013-06-22
Business Address
-- MARYANN BASISTA LCSW
1315 BUTTERFIELD RD SUITE 220
DOWNERS GROVE, IL 60515-5602
Phone number: 630-788-8040
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Mailing Address
-- MARYANN BASISTA LCSW
1315 BUTTERFIELD RD SUITE 220
DOWNERS GROVE, IL 60515-5602
Phone number: 630-788-8040
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