NPI 1003140559

Bates Wilson

Practitioner Social Worker Espanola, NM

Practice location

Address: 404 Hunter St, Espanola, NM 87532-2655
Phone: (505) 753-4123
Fax: (505) 753-6947

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in New Mexico →

Registry record

NPI: 1003140559
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2009
Record last updated: 8 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.