# LATONYA C.M. GAGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972016277
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4755 | SD | — |
| 1041C0700X | Clinical Social Worker | 5240 | SD | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 08/17/2021