Individual
MARY S GATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1004 SURREY ST, LAFAYETTE, LA 70501-6143
(337) 456-6768
(337) 456-8690
Mailing address
806 JEFFERSON TER UNIT 218, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9989
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2370006
—
LA
Enumeration date
05/08/2013
Last updated
10/16/2019
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