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Individual

MRS. JESSICA BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772
(508) 954-8627
Mailing address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2108

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1024
MA
235Z00000X
Speech-Language Pathologist
4550
MA

Other

Enumeration date
02/08/2008
Last updated
08/20/2019
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