AMY BASS-LONGO

GULFPORT, MS
NPI1447276696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MS  0160)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
MRS. AMY BASS-LONGO MS
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Mailing Address
MRS. AMY BASS-LONGO MS
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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