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Individual
MARY E. BATES
Active
Individual
MARY E. BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0800204-SUPV
OH
1041C0700X
Clinical Social Worker
I.0800204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024
—
OH
Enumeration date
04/09/2009
Last updated
04/04/2025
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