Individual
STEPHANIE DENISE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 PECAN LN, WHITEVILLE, NC 28472-2949
(910) 640-1400
Mailing address
603 PECAN LN, WHITEVILLE, NC 28472-2949
(910) 640-1400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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