Iranetta Bates

NPI #1356065197 in Forest, Mississippi

Provider Information

NPI Number
1356065197
Entity Type
Individual
Name
Iranetta Bates
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Sep 26, 2022
Last Updated
Sep 26, 2022

Practice Location

Address
2071 HIGHWAY 35 S STE C
City
Forest
ZIP Code
39074-7838
Phone
(601) 469-2422

Specialties & Taxonomy Codes

Specialty
Counselor

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