Individual
MR. JOHN CARROLL BASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
106 STONE AVE, CLARKS SUMMIT, PA 18411-1538
(570) 586-7287
(570) 586-3840
Mailing address
106 STONE AVE, CLARKS SUMMIT, PA 18411-1538
(570) 586-7287
(570) 586-3840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000661L
PA
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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