Individual
MS. MARILYN FAYE BASS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
802 VILLETTE CT, BALLWIN, MO 63011-4142
(636) 256-2990
(636) 256-2990
Mailing address
802 VILLETTE CT, BALLWIN, MO 63011-4142
(636) 256-2990
(636) 256-2990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000341
MO
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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