Individual
MRS. LORI ANN BASS-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
167 E FREDERICK ST, BINGHAMTON, NY 13904-1214
(607) 762-8300
(607) 762-8398
Mailing address
167 E FREDERICK ST, BINGHAMTON, NY 13904-1214
(607) 762-8300
(607) 762-8398
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
085668
NY
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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