Individual
MR. STEVEN DAVID GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5613 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612-2694
(919) 782-4597
(919) 784-0089
Mailing address
5613 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612-2694
(919) 782-4597
(919) 784-0089
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105029
—
NC
Enumeration date
05/30/2007
Last updated
07/09/2007
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