Individual
MS. PATRICIA A. GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3922
Mailing address
1208 W 8TH ST, DERIDDER, LA 70634-5414
(337) 463-3305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1709
LA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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