Individual
MANDY ANN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 MCCORMICK DR, BONNE TERRE, MO 63628-3613
(573) 430-5016
Mailing address
1020 MCCORMICK DR, BONNE TERRE, MO 63628-3613
(573) 430-5016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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