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1669427845
MACHELLE OUTLAW BASS
MOUNT OLIVE, NC
NPI
1669427845
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Former Name
HOPE MACHELLE OUTLAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 3563)
Enumeration Date
2006-05-24
Last Update Date
2013-10-29
Business Address
Mrs. MACHELLE OUTLAW BASS LPC
1010 N BREAZEALE AVE UNIT C UNIT E
MOUNT OLIVE, NC 28365-1106
Phone number: 919-658-7500
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Mailing Address
Mrs. MACHELLE OUTLAW BASS LPC
191 FIVE POINTS RD
DUDLEY, NC 28333-5261
Phone number: 919-581-8198
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