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Individual
GABRIELLA SONG
Active
Individual
GABRIELLA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
26NR18645700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15604200
NJ
Other
Enumeration date
03/06/2026
Last updated
07/29/2026
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