CANDACE J BASILE

SOUTH JORDAN, UT
NPI1922593003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9190801-3501)
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
CANDACE J BASILE
1226 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095-6023
Phone number: 801-718-8438
Mailing Address
CANDACE J BASILE
1226 W S JORDAN PKWY
SOUTH JORDAN, UT 84095-6023
Phone number: 801-718-8438
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