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Individual

TAYLOR K BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 369-8878
Mailing address
111 E SMITH ST, BRIDGEPORT, WV 26330-1554
(304) 931-8902

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/09/2022
Last updated
05/10/2024
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