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Individual
TYLER JAMES BATES
Active
Individual
TYLER JAMES BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10834443-3502
UT
1041C0700X
Clinical Social Worker
Primary
10834443-3501
UT
Other
Enumeration date
05/24/2018
Last updated
09/09/2020
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