Bates Wilson

NPI #1003140559 in Espanola, New Mexico

Provider Information

NPI Number: 1003140559
Entity Type: Individual
Name: Bates Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 30, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 404 HUNTER ST
City: Espanola
State: New Mexico
ZIP Code: 87532-2655
Phone: (505) 753-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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