Individual
MRS. ANNIE COLEMAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 N LAKE DR, LEXINGTON, SC 29072-7651
(803) 808-9623
(803) 808-9627
Mailing address
1431 N LAKE DR, LEXINGTON, SC 29072-7651
(803) 808-9623
(803) 808-9627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2087
SC
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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