Individual
CASSEN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 WASHINGTON AVE, BAY CITY, MI 48708
(989) 684-7977
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017862
MI
Other
Enumeration date
10/04/2019
Last updated
10/28/2019
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