Individual
ANTONIO GAETA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 N CHESTER AVE, INDIANAPOLIS, IN 46201-2620
(219) 779-0566
Mailing address
511 N CHESTER AVE, INDIANAPOLIS, IN 46201-2620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34012305A
IN
Other
Enumeration date
08/11/2023
Last updated
10/17/2025
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