CASSIDY LAURIN BASS

MACON, GA
NPI1861974164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
CASSIDY LAURIN BASS
890 BURRUS RD
MACON, GA 31204-1441
Phone number: 478-330-7164
Mailing Address
CASSIDY LAURIN BASS
154 TURNERWOODS RD
GRAY, GA 31032-5632
Phone number: 478-234-9882
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