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1629638127
KIARA LATRESE BASS
JACKSON, MS
NPI
1629638127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
KIARA LATRESE BASS
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 769-777-1000
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Mailing Address
KIARA LATRESE BASS
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number:
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