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Individual

PAMELA A BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
11330 Q STREET, SUITE 230, OMAHA, NE 68137
(402) 960-1652
(402) 597-2349
Mailing address
11330 Q STREET, SUITE 230, OMAHA, NE 68137
(402) 960-1652
(402) 597-2349

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
683
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025349100
NE
Enumeration date
03/31/2006
Last updated
01/07/2010
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