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Individual
GABRIELA MAGALLANES
Active
Individual
GABRIELA MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28970
NC
1041C0700X
Clinical Social Worker
Primary
P019583
NC
Other
Enumeration date
07/06/2023
Last updated
05/23/2024
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