Individual
MRS. INA JANE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
181 N KENTUCKY AVE, WEST PLAINS, MO 65775-2089
(417) 257-5911
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000140
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578765467
—
MO
Enumeration date
06/03/2007
Last updated
07/08/2014
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