Individual
LILLIAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WOODLAND RD STE 119, STONEHAM, MA 02180-1710
(781) 321-0645
Mailing address
35 ROCKWELL AVE, MEDFORD, MA 02155-5717
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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