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Individual

DALILA BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, PIP

Contact information

Practice address
85 BAGBY DR, STE 336, HOMEWOOD, AL 35209-3717
(205) 545-0874
Mailing address
PO BOX 364, SHANNON, AL 35142-0364
(205) 276-4971

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3946C
AL
1041C0700X
Clinical Social Worker
CSW006007
GA

Other

Enumeration date
12/26/2017
Last updated
08/15/2022
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