MR. John Carroll Bass, LSW

NPI #1992783591 in Clarks Summit, Pennsylvania

Provider Information

NPI Number: 1992783591
Entity Type: Individual
Name: MR. John Carroll Bass, LSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Jan 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 106 STONE AVE
City: Clarks Summit
State: Pennsylvania
ZIP Code: 18411-1538
Phone: (570) 586-7287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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