Keno Bateman

NPI #1063895308 in Dyersburg, Tennessee

Provider Information

NPI Number: 1063895308
Entity Type: Individual
Name: Keno Bateman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jul 6, 2015
Last Updated: Jul 6, 2015

Practice Location

Address: 305 PATE AVE
City: Dyersburg
State: Tennessee
ZIP Code: 38024-4022
Phone: (901) 647-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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