Michael Gates MSW

NPI 1619129129 - Social Worker - 1041C0700X

NPI Details
NPI 1619129129
Gender Male
Enumeration Date 10/15/2008
Last Updated 10/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
820 S DAMEN AVE
CHICAGO IL, 60612-3728, US
Phone (312) 569-6929
Fax
Business Location
820 S DAMEN AVE
CHICAGO IL, 60612-3728, US
Phone (312) 569-6929
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.003702
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According to our database, Michael Gates MSW NPI is 1619129129, taxonomy code is 1041C0700X and license number is 149.003702, license state is located at Illinois. Michael Gates MSW physically located at 820 S Damen Ave, Chicago IL, 60612-3728. NPI Number Michael Gates MSW has the Individual type.

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1619129129 NPI number is provided on an as is basis without warranty of any kind. 1619129129 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gates MSW are for informational purposes only.