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Individual

TARA LYN BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP

Contact information

Practice address
811 BORDEAUX ST, CHADRON, NE 69337-2614
(308) 430-2132
Mailing address
811 BORDEAUX ST, CHADRON, NE 69337-2614
(308) 430-2132

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1057
NE

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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