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LESLIE S. BASS

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1457493884

Individual Registrant:
 LESLIE S. BASS 
Gender: F
Sole Proprietor

Location and contact information for practice:
4035 EL PRADO BLVD  COCONUT GROVE, FL 33133-6309 US
Tel: 305-663-4853  Fax: --

Contact information for business:
4035 EL PRADO BLVD  COCONUT GROVE, FL 33133-6309 US
Tel: 305-663-4853  Fax: --

Registration Information:
NPI: 1457493884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA4225

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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