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Mr. RICHARD A BASILE -- msw

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1750522744
Provider Type
Individual Provider (NPI-1)
Credentials
msw
Status
Active

Contact & Location

Address
428 HARTFORD TPKE, VERNON, CT, 060664841
Phone
(860) 870-0119
Fax
(860) 870-0122

Specialties & Taxonomies

Social Worker, Clinical Primary License: CT #000608

All Addresses

MAILING

2341 HEBRON AVE

GLASTONBURY, CT, 060332741

(860) 659-2937

LOCATION

428 HARTFORD TPKE

VERNON, CT, 060664841

(860) 870-0119