Individual
CARLEEN MICHELLE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 WHIPPOORWILL LN, ROANOKE, AL 36274-2404
(334) 338-0436
Mailing address
443 WHIPPOORWILL LN, ROANOKE, AL 36274-2404
(334) 338-0436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4396C
AL
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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