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1649594037
GARY WAYNE BASS
GREENVILLE, NC
NPI
1649594037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC COO6631)
Enumeration Date
2010-03-15
Last Update Date
2010-03-15
Business Address
MR. GARY WAYNE BASS LCSW
101A E VICTORIA CT
GREENVILLE, NC 27858-5735
Phone number: 252-321-8080
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Mailing Address
MR. GARY WAYNE BASS LCSW
4100 TREETOPS CIR
WINTERVILLE, NC 28590-9220
Phone number: 252-341-4846
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