Individual
VERNON MAE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8206 WINEWOOD CT, RIVERDALE, GA 30274-4232
(404) 234-3266
Mailing address
8206 WINEWOOD CT, RIVERDALE, GA 30274-4232
(404) 234-3266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
10/14/2015
Last updated
07/21/2022
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