Individual
THOMAS GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E ST, WEWOKA, OK 74884-6600
(405) 382-5438
Mailing address
101 E ST, WEWOKA, OK 74884-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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