Individual
MS. LEILA WILSON BATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
777 WRIGHT ORCHARD RD, GRAFTON, VT 05146-9769
(802) 843-1175
Mailing address
777 WRIGHT ORCHARD RD, GRAFTON, VT 05146-9769
(802) 843-1175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000977
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011808
—
VT
Enumeration date
11/04/2006
Last updated
07/09/2007
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