GWEN GATES

LAKESIDE, MT
NPI1275393803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171400000X 
(Licence: MT  ID-A-3438467)
Additional Taxonomies225800000X Recreation Therapist
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
GWEN GATES NBC-HWC, CPT, CTRS
145 TAMARACK WOODS DR
LAKESIDE, MT 59922-9642
Phone number: 406-407-3833
Mailing Address
GWEN GATES NBC-HWC, CPT, CTRS
PO BOX 637
LAKESIDE, MT 59922-0637
Phone number: 406-407-3833