Individual
ALIE E BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
680 S MAIN ST, CHESHIRE, CT 06410-3181
(203) 694-6744
Mailing address
680 S MAIN ST, CHESHIRE, CT 06410-3181
(203) 694-6744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4888
CT
1041C0700X
Clinical Social Worker
Primary
011915
CT
Other
Enumeration date
01/21/2020
Last updated
01/18/2022
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