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1306624085
LAUREL BREANNE THORNTON BASS
WILLIAMSBURG, VA
NPI
1306624085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904015718)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
LAUREL BREANNE THORNTON BASS LCSW
364 MCLAWS CIR STE 2
WILLIAMSBURG, VA 23185-6340
Phone number: 757-375-5629
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Mailing Address
LAUREL BREANNE THORNTON BASS LCSW
364 MCLAWS CIR STE 2
WILLIAMSBURG, VA 23185-6340
Phone number: 757-758-5629
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