Taliet Gerretsen, LMSW

NPI #1215403654 in Corning, New York

Provider Information

NPI Number: 1215403654
Entity Type: Individual
Name: Taliet Gerretsen, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 77 E 1ST ST
City: Corning
State: New York
ZIP Code: 14830-2715
Phone: (607) 936-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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