Individual
LEORA MARLENE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60504187
WA
1041C0700X
Clinical Social Worker
SC60198881
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467726018
—
WA
Enumeration date
02/29/2012
Last updated
07/21/2022
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