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Katasha Gillette

Case Manager/Care Coordinator in Malone, NY. Individual provider (NPI-1).

NPI number1194355040
StatusActive
Last updated in NPPESJan 20, 2020

Details

NPI
1194355040
Entity type
Individual (NPI-1)
Name
Katasha Gillette
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2020
Certification date
Jan 20, 2020
Last updated
Jan 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

31 6th St
Malone, NY 12953-1246

Phone 518-651-2703

Mailing address

Po Box 608 31 6th Street
Malone, NY 12953

Phone 518-651-2703

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