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1336543867
GIOVANNI AQUILLA BASS
FORT STEWART, GA
NPI
1336543867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C008797)
Enumeration Date
2014-10-13
Last Update Date
2017-12-26
Business Address
GIOVANNI AQUILLA BASS L.C.S.W.
1601 HARMON AVE.
FORT STEWART, GA 31324
Phone number: 912-435-6965
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Mailing Address
GIOVANNI AQUILLA BASS L.C.S.W.
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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