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1285411207
DEMETRIST BASS
NEW YORK, NY
NPI
1285411207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS C10502)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
DEMETRIST BASS LCSW
320 W 37TH ST FL 5
NEW YORK, NY 10018-4252
Phone number: 228-343-7413
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Mailing Address
DEMETRIST BASS LCSW
PO BOX 2424
GULFPORT, MS 39505-2424
Phone number: 228-343-7413
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