Individual
MS. LAURIE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS LSW
Contact information
Practice address
1062 E LANCASTER AVE, SUITE 16, BRYN MAWR, PA 19010-1552
(215) 260-1555
Mailing address
1055 SILVER OAK PL, AMBLER, PA 19002-1627
(215) 260-1555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW123400
PA
Other
Enumeration date
12/07/2011
Last updated
02/14/2013
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