Individual
MICHELLE BATES-LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2001 W 19TH AVE, GARY, IN 46404-2742
(219) 805-9982
Mailing address
2001 W 19TH AVE, GARY, IN 46404-2742
(219) 805-9982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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