Individual
MELISSA D BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 E NATIONAL AVE, BRAZIL, IN 47834-2717
(812) 448-8801
(812) 446-5302
Mailing address
PO BOX 4323, 620 8TH AVENUE, TERRE HAUTE, IN 47804-0323
(812) 231-8315
(812) 231-8442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005861
IN
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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