Individual
NESTLY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2200 E CHAMBERS DR, BOONEVILLE, MS 38829-8900
(662) 728-3137
(662) 728-6688
Mailing address
805 BOYD DR, CORINTH, MS 38834-6811
(662) 491-2816
(662) 728-6688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252
—
MS
Enumeration date
02/26/2016
Last updated
02/26/2016
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