Most Relevant Information
Provider Data
| NPI Number: | 1003633389 |
| Provider Name: | CLARICE RENEE BATES |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2024 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
24962 OKAY RD
TECUMSEH
OK
748736504
Practice Location Phone/Fax
| Phone: | 4052532020 |
| Fax: |
Provider Mailing Location
24962 OKAY RD
TECUMSEH
OK
748736504
Provider Mailing Phone/Fax
| Phone: | 4052532020 |
| Fax: |