Individual
MARY ASHLEY CELESTE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 INTERSTATE RIDGE DR STE G, GAINESVILLE, GA 30501-7076
(678) 207-2900
Mailing address
915 INTERSTATE RIDGE DR STE G, GAINESVILLE, GA 30501-7076
(678) 207-2900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007425
GA
Other
Enumeration date
01/08/2021
Last updated
11/02/2021
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