Individual
ELIZABETH BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 MAPLE AVE, SUITE 203, RED BANK, NJ 07701-1731
(732) 739-7939
Mailing address
3 SOUTHERN DR, TINTON FALLS, NJ 07724-3166
(732) 739-7939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05643700
NJ
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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