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MAURICE ATES

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

Registrant NPI Number: 1245884915

Individual Registrant:
 MAURICE  ATES 
Gender: M
Sole Proprietor

Location and contact information for practice:
4001 COMMERCIAL CENTER DR STE 2  MARION, AR 72364-9616 US
Tel: 870-732-7920  Fax: 870-732-7923

Contact information for business:
2809 FOREST HOME RD  JONESBORO, AR 72401-5320 US
Tel: 866-972-1268  Fax: --

Registration Information:
NPI: 1245884915
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
AR9555-M

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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