Individual
MR. EUGENE RUSSELL BATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
402 MYRTLE BEACH HWY, SUMTER, SC 29153-5016
(803) 773-0815
Mailing address
PO BOX 3193, SUMTER, SC 29151-3193
(803) 773-0815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3361
SC
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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