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Individual

MS. SUZANNE LEE BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1334 NORTH LANSING AVENUE, TULSA, OK 74106
(918) 295-9382
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1351
OK

Other

Enumeration date
06/08/2007
Last updated
09/20/2021
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