Individual
KENO BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 PATE AVE, DYERSBURG, TN 38024-4022
(901) 647-1222
Mailing address
305 PATE AVE, DYERSBURG, TN 38024-4022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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