AVERETT WILLIAM HEINZ BASS

LONGMEADOW, MA
NPI1417607953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  123969)
Enumeration Date2022-03-27
Last Update Date2022-06-16
Business Address
AVERETT WILLIAM HEINZ BASS LICSW
175 DWIGHT RD
LONGMEADOW, MA 01106-1576
Phone number: 413-363-2042
Mailing Address
AVERETT WILLIAM HEINZ BASS LICSW
175 DWIGHT RD STE 303C
LONGMEADOW, MA 01106-1576
Phone number: