Individual
DAVID BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301
Mailing address
72 KILBURN ST, NEW BEDFORD, MA 02740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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