Individual
ELIZABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2230
(701) 746-2475
Mailing address
514 TERRACE DR, GRAND FORKS, ND 58201-7661
(218) 779-4807
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000417678
ND
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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