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1912316084
PHILLIP MICHAEL BASS
CHAPEL HILL, NC
NPI
1912316084
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Former Name
PHILLIP MICHAEL SHOE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A10502)
Enumeration Date
2014-08-04
Last Update Date
2024-03-26
Business Address
PHILLIP MICHAEL BASS MDiv, ThM, LCMHC
1777 FORDHAM BLVD STE 204
CHAPEL HILL, NC 27514-5885
Phone number: 919-283-3137
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Mailing Address
PHILLIP MICHAEL BASS MDiv, ThM, LCMHC
5220 HALLMARK RD STE 403B
DURHAM, NC 27712-2058
Phone number: 919-210-4627
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