Individual
MS. SANDRA LYNCH-BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
1182 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 547-2876
Mailing address
907 GINGER TREE PL, PORT ORANGE, FL 32127-7778
(386) 547-2876
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1858
FL
Other
Enumeration date
06/12/2007
Last updated
04/15/2015
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