Individual
TERESA GAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Mailing address
151 N MARKET BLVD, CHEHALIS, WA 98532-2677
(360) 948-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60895596
WA
Other
Enumeration date
08/29/2018
Last updated
05/22/2019
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