Individual
MRS. NICOLE LYNN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2956 GLORY RD, FRANKFORT, MI 49635-9769
(231) 930-7585
Mailing address
2956 GLORY RD, FRANKFORT, MI 49635-9769
(231) 930-7585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002170
MI
235Z00000X
Speech-Language Pathologist
LL00004450
WA
Other
Enumeration date
04/25/2007
Last updated
07/24/2016
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