Individual
AUDRA GATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1210 WOLFE ST, LITTLE ROCK, AR 72202-4618
(501) 364-5150
(501) 603-1840
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(016) 142-8105
(501) 562-6562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8419-M
AR
1041C0700X
Clinical Social Worker
Primary
8419-C
AR
Other
Enumeration date
01/09/2018
Last updated
01/05/2022
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