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Individual

LOUIS GATEWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED, MS, LPC

Contact information

Practice address
3103 BALLARD MILL DR, COLUMBIA, MO 65203-1483
(573) 529-1391
Mailing address
3103 BALLARD MILL DR, COLUMBIA, MO 65203-1483
(573) 529-1391

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014013271
MO

Other

Enumeration date
07/07/2016
Last updated
07/08/2016
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