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1528163011
GARY M. DE GASTA
WHITE RIVER JUNCTION, VT
NPI
1528163011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 100633)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. GARY M. DE GASTA LICSW
215 N MAIN ST
WHITE RIVER JUNCTION, VT 05009-0001
Phone number: 802-295-9363
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Mailing Address
Mr. GARY M. DE GASTA LICSW
386 HAWK PINE RD
NORWICH, VT 05055-9631
Phone number: 802-649-3533
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