Individual
ANGELA DAWN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FEATHER ST, OGEMA, MN 56569-6902
(218) 983-3011
(218) 983-3002
Mailing address
301 FEATHER ST, OGEMA, MN 56569-6902
(218) 983-3011
(218) 983-3002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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