Individual
MS. LESLIE LARAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 461-1300
Mailing address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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