Individual
QUEEN DOREEN BASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7826 EASTERN AVE NW STE LL14, WASHINGTON, DC 20012-1328
(202) 853-4910
Mailing address
14737 LONDON LN, BOWIE, MD 20715-2549
(312) 646-8903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/21/2022
Last updated
06/02/2023
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