Individual
MRS. ANN MABRY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 WESTBROOK RD, ESSEX, CT 06426
(860) 767-0147
(860) 767-0148
Mailing address
PO BOX 696, IVORYTON, CT 06442
(860) 767-3505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000609
CT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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