Individual
MS. GABRIELLE SUZAN KYRIAKIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
309 W ELM ST, BROCKTON, MA 02301-4260
(860) 989-7939
Mailing address
309 W ELM ST, BROCKTON, MA 02301-4260
(860) 989-7939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
408934
MA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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