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1184176422
LAURA BASS
COLUMBIA, MD
NPI
1184176422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MD LC4104)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
LAURA BASS LCPC
10630 LITTLE PATUXENT PKWY 209
COLUMBIA, MD 21044-3264
Phone number: 410-740-8068
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Mailing Address
LAURA BASS LCPC
920 WALNUT WOOD RD
COCKEYSVILLE, MD 21030-5407
Phone number: 410-370-4868
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