Individual
KALA GATTUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130433121
WI
1041C0700X
Clinical Social Worker
Primary
11347
WI
1041C0700X
Clinical Social Worker
11347
—
Other
Enumeration date
06/21/2021
Last updated
01/07/2024
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