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Individual
MS. TAMARA SUSAN BASS
Active
Individual
MS. TAMARA SUSAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17883
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
17883
FL
101YM0800X
Mental Health Counselor
17883
FL
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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