Individual
NICHOLAS ADAM BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 SE LOMOND LN, LAWTON, OK 73501-6609
(580) 353-6937
Mailing address
811 SE LOMOND LN, LAWTON, OK 73501-6609
(580) 353-6937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
03/03/2013
Last updated
03/03/2013
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