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1609366848
KIYANA BASS
PHILADELPHIA, PA
NPI
1609366848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW019536)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
KIYANA BASS LCSW
1518 WALNUT ST STE 307
PHILADELPHIA, PA 19102-3402
Phone number: 215-625-9655
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Mailing Address
KIYANA BASS LCSW
5917 ALGON AVE
PHILADELPHIA, PA 19149-3610
Phone number:
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