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1972799351
TARA LORENA BASS
LOS ANGELES, CA
NPI
1972799351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW 23997)
Enumeration Date
2007-09-19
Last Update Date
2008-09-25
Business Address
Ms. TARA LORENA BASS
11080 WEST OLYMPIC BLVD.
LOS ANGELES, CA 90064
Phone number: 310-966-6500
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Mailing Address
Ms. TARA LORENA BASS
11080 WEST OLYMPIC BLVD.
LOS ANGELES, CA 90064
Phone number: 310-966-6500
Copy
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