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Individual

ALLISON BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 857-3655
Mailing address
602 DAVID ST, CORNING, AR 72422-7268

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10156M
AR
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/20/2020
Last updated
06/30/2023
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