Individual
MRS. ANDREA LEE GATES-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 467-3097
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76567200
—
FL
Enumeration date
02/07/2007
Last updated
09/21/2021
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