Individual
GATLIN GABRIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
177 3RD ST, PIKEVILLE, KY 41501-1278
(859) 227-5614
Mailing address
177 3RD ST, PIKEVILLE, KY 41501-1278
(859) 227-5614
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
C07628439
KY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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