Individual
AVERETT WILLIAM HEINZ BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
175 DWIGHT RD, LONGMEADOW, MA 01106-1576
(413) 363-2042
Mailing address
175 DWIGHT RD STE 303C, LONGMEADOW, MA 01106-1576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123969
MA
Other
Enumeration date
03/27/2022
Last updated
06/16/2022
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