Individual
MS. LAURA LEIGH GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 DESERT CANYON RD, WICKENBURG, AZ 85390-3360
(203) 449-0972
Mailing address
515 DESERT CANYON RD, WICKENBURG, AZ 85390-3360
(203) 449-0972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12968
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-12968
LCSW LICENSE
AZ
Enumeration date
12/02/2006
Last updated
07/24/2013
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