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Individual

DAVID RICHARD GAETA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1225 BENNINGTON ST, EAST BOSTON, MA 02128-1204
(781) 760-2068
(617) 371-7198
Mailing address
1225 BENNINGTON ST, EAST BOSTON, MA 02128-1244
(781) 760-2068
(617) 371-7198

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113003
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10
BEHAVIORIAL HEALTH
MA
Enumeration date
05/18/2006
Last updated
07/08/2007
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