Individual
MR. ETHAN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
212 W TROY ST STE B, DOTHAN, AL 36303-4455
(205) 578-8058
Mailing address
212 W TROY ST STE B, DOTHAN, AL 36303-4455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6615C
AL
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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