Individual
MS. JEAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BLUEBERRY WAY, PEABODY, MA 01960-4940
(978) 335-1793
Mailing address
6 BLUEBERRY WAY, PEABODY, MA 01960-4940
(978) 335-1793
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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