Individual
LEO GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC60771681
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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