CLARISSA BATES

FORT WAYNE, IN
NPI1306408737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22007237A)
Enumeration Date2019-07-06
Last Update Date2019-07-06
Business Address
CLARISSA BATES
9426 LIMA RD STE A
FORT WAYNE, IN 46818-8681
Phone number: 260-497-0328
Mailing Address
CLARISSA BATES
9426 LIMA RD STE A
FORT WAYNE, IN 46818-8681
Phone number: 260-497-0328
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