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Individual

CAROLYN L BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCCPSS

Contact information

Practice address
703 N BROAD ST, EDENTON, NC 27932-1430
(252) 337-5918
Mailing address
703 N BROAD ST, EDENTON, NC 27932-1430
(252) 337-5918

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
12/26/2022
Last updated
12/26/2022
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