Individual
MR. DAVID WHITNEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
622 RIVERSIDE DRIVE, MONROE, LA. 71203, MONROE, LA 71203
(318) 398-0945
(318) 398-7157
Mailing address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
(318) 398-7157
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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