Individual
JOSEPH WILLIAM BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9055 E PLATA AVE, MESA, AZ 85212-2822
(636) 541-6123
Mailing address
9055 E PLATA AVE, MESA, AZ 85212-2822
(636) 541-6123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023015564
MO
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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