Individual
KATASHA GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 651-2703
Mailing address
PO BOX 608 31 6TH STREET, MALONE, NY 12953
(518) 651-2703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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