Provider First Line Business Practice Location Address:
MARIA T BATES LCSW
Provider Second Line Business Practice Location Address:
660 SO MAIN ST SUITE D
Provider Business Practice Location Address City Name:
WILLITS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-459-6108
Provider Business Practice Location Address Fax Number:
707-459-6108
Provider Enumeration Date:
11/21/2006