Individual
ALICE BLAIR BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1001 MACY DR, ROSWELL, GA 30076-6335
(678) 965-0993
Mailing address
1001 MACY DR, ROSWELL, GA 30076-6335
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000329
GA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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