MRS. Nancy L Bass

NPI #1306151949 in Anna, Illinois

Provider Information

NPI Number
1306151949
Entity Type
Individual
Name
MRS. Nancy L Bass
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Aug 6, 2010
Last Updated
Aug 6, 2010

Practice Location

Address
128 ORANGE ST
City
Anna
ZIP Code
62906-1152
Phone
(618) 833-8997

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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