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1518198076
KELLY LYNN BASSETT
VOORHEES, NJ
NPI
1518198076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
102L00000X Psychoanalyst
(Licence: NY 000913)
Enumeration Date
2009-07-31
Last Update Date
2015-11-17
Business Address
Ms. KELLY LYNN BASSETT LP, M.Ed
1 SHEPPARD RD SUITE 704
VOORHEES, NJ 08043-4608
Phone number: 646-510-1593
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Mailing Address
Ms. KELLY LYNN BASSETT LP, M.Ed
1 SHEPPARD RD SUITE 704
VOORHEES, NJ 08043-4608
Phone number: 646-510-1593
Copy