Individual
MR. HERMAN JOHN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW , LCSW
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5112 N SANTA MONICA BLVD, WHITEFISH BAY, WI 53217-5536
(414) 962-0414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1520-123
WI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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