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1154090421
RATEAH GAGE
SHREVEPORT, LA
NPI
1154090421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11404)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
RATEAH GAGE LCSW
2020 E 70TH ST STE 301
SHREVEPORT, LA 71105-5332
Phone number: 318-553-5591
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Mailing Address
RATEAH GAGE LCSW
14635 RHONDA AVE
BATON ROUGE, LA 70816-7445
Phone number: 337-207-8026
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