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Doug R Bassil

Social Worker in Port Huron, MI. Individual provider (NPI-1).

NPI number1497340830
StatusActive
Last updated in NPPESMar 8, 2021

Details

NPI
1497340830
Entity type
Individual (NPI-1)
Name
Doug R Bassil
Sex
Male
Sole proprietor
No
Enumeration date
Mar 8, 2021
Certification date
Mar 8, 2021
Last updated
Mar 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

520 Superior St
Port Huron, MI 48060-3838

Phone 810-455-0102

Mailing address

520 Superior St
Port Huron, MI 48060-3838

Phone 810-455-0102

Other practice locations

520 Superior St
Port Huron, MI 48060-3838

Phone 810-455-0102

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