Individual
RATEAH GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 E 70TH ST STE 301, SHREVEPORT, LA 71105-5332
(318) 553-5591
(318) 553-5592
Mailing address
14635 RHONDA AVE, BATON ROUGE, LA 70816-7445
(337) 207-8026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11404
LA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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