Individual
GAYLE M TATE-CASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
600 BROADWAY ST, LONGVIEW, WA 98632-3256
(360) 414-2222
(360) 414-2220
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2048
(360) 414-2054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW00006409
WA
1041C0700X
Clinical Social Worker
Primary
LW00006409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8923628
CRIME VICTIMS
WA
Enumeration date
09/07/2005
Last updated
10/12/2011
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