Individual
RILEY VM GAETJENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 ENTERPRISE RD, LIMERICK, ME 04048-4044
(409) 789-1330
Mailing address
41 ENTERPRISE RD, LIMERICK, ME 04048-4044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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