Individual
LATOYA R GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006017
—
AK
05
—
1020986
—
AK
05
—
1584987
—
AK
Enumeration date
12/06/2018
Last updated
12/06/2018
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