Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 61851 | CA |
NPI | 1003117185 |
---|---|
Provider Name | Barbara Gatlin |
First Address | Merced, CA 95348-9104 |
Second Address | Atwater, CA 95301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2010 |
Last Update Date | 13/08/2019 |