Individual
KATHERINE J. GATES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2023 CATO AVE STE 101, STATE COLLEGE, PA 16801-2765
(814) 308-8375
Mailing address
106 BLUEBIRD LN, HOWARD, PA 16841-2710
(814) 599-4124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017193
PA
Other
Enumeration date
10/21/2008
Last updated
01/28/2020
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