Individual
GINA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 N MOUNTAIN RD, NEW BRITAIN, CT 06053-3468
(860) 793-3500
Mailing address
100 MYRON ST, NEW HAVEN, CT 06512-3951
(203) 988-0611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
12379
CT
Other
Enumeration date
04/29/2020
Last updated
12/28/2022
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