Individual
KATE ANDERSON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3575 BRASELTON HWY, DACULA, GA 30019-1027
(770) 848-5300
(770) 848-5301
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005188
GA
Other
Enumeration date
12/09/2015
Last updated
10/06/2020
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