MALLISA P BATES

BROOKINGS, OR
NPI1770047425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-01-28
Last Update Date2019-01-28
Business Address
MALLISA P BATES
210 COVE RD
BROOKINGS, OR 97415-2520
Phone number: 541-469-0222
Mailing Address
MALLISA P BATES
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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