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1619320918
SAMUEL SCOTT BASS
RALEIGH, NC
NPI
1619320918
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Other Name
SCOTT BASS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC LMFT 1702)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- SAMUEL SCOTT BASS MS, MDiv, LMFT
4601 LAKE BOONE TRL SUITE 3B
RALEIGH, NC 27607-7503
Phone number: 919-760-5430
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Mailing Address
-- SAMUEL SCOTT BASS MS, MDiv, LMFT
PO BOX 25032
RALEIGH, NC 27611-5032
Phone number: 919-760-5430
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