ALYSSA KATHLEEN BASILIERE LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1326767112- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 445 WILLOW ST, MANCHESTER, NH, 031036216
- Phone
- (978) 886-8151
Specialties & Taxonomies
Social Worker, Clinical
Primary License: VT #089.0134692