Individual
MARIA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6886 MAIN ST STE 209, STONECREST, GA 30058-4508
(800) 650-0669
Mailing address
6886 MAIN ST STE 209, STONECREST, GA 30058-4508
(678) 902-5854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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