Individual
ALICE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PPS
Contact information
Practice address
13340 CALIFORNIA ST STE F, YUCAIPA, CA 92399-5169
(909) 327-6836
(909) 316-4443
Mailing address
36420 TORREY PINES DR, BEAUMONT, CA 92223-8016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24860
CA
1041C0700X
Clinical Social Worker
LCS24860
CA
Other
Enumeration date
02/11/2009
Last updated
12/07/2020
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