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ALIE E BATES LCSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1235769092

Individual Registrant:
 ALIE E BATES LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
680 S MAIN ST  CHESHIRE, CT 06410-3181 US
Tel: 203-694-6744  Fax: --

Contact information for business:
680 S MAIN ST  CHESHIRE, CT 06410-3181 US
Tel: 203-694-6744  Fax: --

Registration Information:
NPI: 1235769092
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
CT4888
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT011915

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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