Tate-Casson, Gayle M

Tate-Casson, Gayle M is an individual health care provider with primary practice located at 600 Broadway St , Longview WA 98632-3256. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tate-Casson, Gayle M can be contacted via phone (360) 414-2222.

Contact Information

Primary practice address
600 Broadway St Longview WA 98632-3256
Phone: (360) 414-2222
Fax: (360) 414-2220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LW00006409 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00006409 Washington

Profile Details

NPI number 1114911922
LBN Legal business name Tate-Casson, Gayle M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114911922 NPPES
Washington Other 8923628 CRIME VICTIMS

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