MARYANN BASISTA

DOWNERS GROVE, IL
NPI1902914476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  149 006503)
Enumeration Date2006-08-26
Last Update Date2013-06-22
Business Address
-- MARYANN BASISTA LCSW
1315 BUTTERFIELD RD SUITE 220
DOWNERS GROVE, IL 60515-5602
Phone number: 630-788-8040
Mailing Address
-- MARYANN BASISTA LCSW
1315 BUTTERFIELD RD SUITE 220
DOWNERS GROVE, IL 60515-5602
Phone number: 630-788-8040