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1720740962
HAROLD EDWARD BATES SR
MEMPHIS, TN
NPI
1720740962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN LDC619)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
HAROLD EDWARD BATES SR Ladac II , MAC
5565 BROOK SHADE LN
MEMPHIS, TN 38125-4198
Phone number: 901-308-9271
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Mailing Address
HAROLD EDWARD BATES SR Ladac II , MAC
1910 MADISON AVE # 3013
MEMPHIS, TN 38104-2620
Phone number: 901-308-9271
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