Most Relevant Information
Provider Data
| NPI Number: | 1003288622 |
| Provider Name: | KAREN PATRICE GILLETTE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 087548-1 |
Most Important Dates
| Enumeration Date: | 10/22/2015 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
3980 VANSTON RD
CUTCHOGUE
NY
119351629
Practice Location Phone/Fax
| Phone: | 9083035493 |
| Fax: |
Provider Mailing Location
3980 VANSTON RD
CUTCHOGUE
NY
119351629
Provider Mailing Phone/Fax
| Phone: | 6317345145 |
| Fax: |