Individual
REBECCA GASPAROTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 S KERR BLVD, SALLISAW, OK 74955-7240
(918) 967-7902
(918) 790-2763
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-3351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7833
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971680A
—
OK
Enumeration date
10/04/2016
Last updated
01/14/2022
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