DEIDRA BASS
Mental Health at Lake Whitney Pl, Fort Pierce, FL

License number
Florida 900341538
Category
Mental Health
Type
Mental Health
Address
Address
525 NW Lake Whitney Pl, Fort Pierce, FL 34986
Phone
(772) 446-1148
National Provider ID: 1851749857
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Deidra Bass
10310 Zackary Cir APT 52, Riverview, FL 33578
(813) 741-3562
Deidra Bass, age 63
16583 Jewett St APT 604, White Springs, FL 32096
Deidra Bass, age 63
16601 Jewett St, White Springs, FL 32096
(386) 589-9688
Deidra Bass, age 61
8421 Sycamore Tree Dr APT 20, Tampa, FL 33614
Deidra L Bass, age 61
10310 Zackary Cir, Riverview, FL 33569
(813) 741-3562

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