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Individual

KAREN BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CAADC

Contact information

Practice address
28330 FRANKLIN RIVER DR, APT. 207, SOUTHFIELD, MI 48034-5479
(248) 990-1643
Mailing address
28330 FRANKLIN RIVER DR, APT. 207, SOUTHFIELD, MI 48034-5479
(248) 990-1643

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007243
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1883825
MI
Enumeration date
01/24/2007
Last updated
11/12/2015
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