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1417607953
AVERETT WILLIAM HEINZ BASS
LONGMEADOW, MA
NPI
1417607953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 123969)
Enumeration Date
2022-03-27
Last Update Date
2022-06-16
Business Address
AVERETT WILLIAM HEINZ BASS LICSW
175 DWIGHT RD
LONGMEADOW, MA 01106-1576
Phone number: 413-363-2042
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Mailing Address
AVERETT WILLIAM HEINZ BASS LICSW
175 DWIGHT RD STE 303C
LONGMEADOW, MA 01106-1576
Phone number:
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