Individual
KELLY GACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
339 N BROADWAY, NYACK, NY 10960-1522
(845) 358-7772
Mailing address
339 N BROADWAY, NYACK, NY 10960-1522
(845) 358-7772
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
077930
NY
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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