PATRICIA MARIE BASS

PORT JEFFERSON STATION, NY
NPI1871776443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R058561-1)
Enumeration Date2007-12-06
Last Update Date2007-12-06
Business Address
-- PATRICIA MARIE BASS LCSW
341 JAYNE BLVD
PORT JEFFERSON STATION, NY 11776-2971
Phone number: 631-928-6565
Mailing Address
-- PATRICIA MARIE BASS LCSW
341 JAYNE BLVD
PORT JEFFERSON STATION, NY 11776-2971
Phone number: 631-928-6565
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