Individual
LAUREN JENEEN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3000 TOWN CTR STE 58, SOUTHFIELD, MI 48075-1120
(248) 397-4050
(248) 397-4050
Mailing address
3000 TOWN CTR STE 58, SOUTHFIELD, MI 48075-1120
(248) 397-4050
(248) 397-4050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
750100635
MI
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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