Individual
MICHELLE GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 EAGLE DR, EDMOND, OK 73034-6063
(405) 414-3860
Mailing address
2000 EAGLE DR, EDMOND, OK 73034-6063
(405) 414-3860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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