LATORIA R BASS

BOISE, ID
NPI1497064760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  65899)
Additional Taxonomies104100000X Social Worker
(Licence: NY  088046)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-10-04
Last Update Date2023-08-31
Business Address
Miss LATORIA R BASS LCSW
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Mailing Address
Miss LATORIA R BASS LCSW
2411 ANITA ST
HOUSTON, TX 77004-3101
Phone number: 504-427-7005