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1790456838
AYESHA NICOLE BASS
SACRAMENTO, CA
NPI
1790456838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 127563)
Enumeration Date
2021-09-27
Last Update Date
2025-01-06
Business Address
AYESHA NICOLE BASS
PO BOX 340501
SACRAMENTO, CA 95834-0501
Phone number: 916-400-1588
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Mailing Address
AYESHA NICOLE BASS
520 SAMUEL WAY
SACRAMENTO, CA 95838-2690
Phone number: 916-400-1588
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