Individual
ANGELLA YVONNE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 206-1786
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 206-1786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5119
SD
Other
Enumeration date
05/01/2019
Last updated
01/13/2025
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