Individual
MRS. ANTOINETTE PALKA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 LOMB MEMORIAL DR, ROCHESTER, NY 14623-5608
(585) 475-2261
(585) 475-6548
Mailing address
115 LOMB MEMORIAL DR, ROCHESTER, NY 14623-5608
(585) 475-2261
(585) 475-6548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083483
NY
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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