Tara Peters Basile

NPI #1326552407 in Plainville, Connecticut

Provider Information

NPI Number: 1326552407
Entity Type: Individual
Name: Tara Peters Basile
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 28, 2017
Last Updated: Nov 28, 2017

Practice Location

Address: 91 NORTHWEST DR
City: Plainville
State: Connecticut
ZIP Code: 06062-1534
Phone: (203) 988-2765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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