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Individual
KELLYN BASS
Active
Individual
KELLYN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106653
TX
1041C0700X
Clinical Social Worker
123275
IA
1041C0700X
Clinical Social Worker
Primary
CSW.09929750
CO
1041C0700X
Clinical Social Worker
TPSW4825
FL
Other
Enumeration date
11/03/2021
Last updated
01/25/2026
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