Individual
TIMOTHY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., PP, BHRS
Contact information
Practice address
416 N 16TH ST, GUTHRIE, OK 73044-2313
(214) 516-5627
Mailing address
416 N 16TH ST, GUTHRIE, OK 73044-2313
(214) 516-5627
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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