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1093301939
THERESA BASS
RALEIGH, NC
NPI
1093301939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
THERESA BASS BS
421 FAYETTEVILLE ST
RALEIGH, NC 27601-1792
Phone number:
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Mailing Address
THERESA BASS BS
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601-3000
Phone number: 832-964-4593
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