Individual
ERIN COX BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014026536
MO
1041C0700X
Clinical Social Worker
4439
KS
Other
Enumeration date
12/01/2011
Last updated
09/30/2019
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