Individual
AYANNA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
19910 MALVERN RD, SHAKER HEIGHTS, OH 44122-2823
(216) 544-1321
Mailing address
16106 HORACE HARDING EXPY # 2F, FRESH MEADOWS, NY 11365-1856
(347) 517-9854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123755
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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