Individual
AMI P BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 WATER ST, SUITE 303, WATERVILLE, ME 04901-6566
(207) 861-3500
(207) 861-6201
Mailing address
10 WATER STREET, SUITE 303, WATERVILLE, ME 04901-6566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14930
ME
Other
Enumeration date
09/05/2012
Last updated
11/24/2014
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