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Individual

NIKEISHA BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2851 STAGE VILLAGE CV STE 3, BARTLETT, TN 38134-4683
(901) 209-1166
Mailing address
9139 BERRY GARDEN CIR S # NA, CORDOVA, TN 38016-5381
(901) 209-1166

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
12888
TN
1041C0700X
Clinical Social Worker
Primary
8713
TN

Other

Enumeration date
10/26/2021
Last updated
05/23/2025
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