Individual
TYPHANIE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NEPTUNE DR N, SEWELL, NJ 08080-2126
(856) 582-3900
Mailing address
1 NEPTUNE DR N, SEWELL, NJ 08080-2126
(856) 582-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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