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Individual

PAMELA TARA BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Mailing address
8207 DEVANE DR, TAMPA, FL 33619-6562
(813) 735-6841

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/11/2017
Last updated
08/17/2023
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