GARY M. DE GASTA

WHITE RIVER JUNCTION, VT
NPI1528163011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  100633)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
Mr. GARY M. DE GASTA LICSW
215 N MAIN ST
WHITE RIVER JUNCTION, VT 05009-0001
Phone number: 802-295-9363
Mailing Address
Mr. GARY M. DE GASTA LICSW
386 HAWK PINE RD
NORWICH, VT 05055-9631
Phone number: 802-649-3533