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1053630269
LESLIE C BASS
BRADENTON, FL
NPI
1053630269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 4399)
Enumeration Date
2010-05-27
Last Update Date
2010-05-27
Business Address
Mrs. LESLIE C BASS M.A., L.M.H.C.
5460 LENA RD SUITE 103
BRADENTON, FL 34211-9500
Phone number: 941-907-0525
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Mailing Address
Mrs. LESLIE C BASS M.A., L.M.H.C.
5460 LENA RD SUITE 103
BRADENTON, FL 34211-9500
Phone number: 941-907-0525
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