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1992783591
JOHN CARROLL BASS
CLARKS SUMMIT, PA
NPI
1992783591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW000661L)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
Mr. JOHN CARROLL BASS LSW
106 STONE AVE
CLARKS SUMMIT, PA 18411-1538
Phone number: 570-586-7287
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Mailing Address
Mr. JOHN CARROLL BASS LSW
106 STONE AVE
CLARKS SUMMIT, PA 18411-1538
Phone number: 570-586-7287
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