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Individual

GABRIELLE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1412 SWEET HOME RD, AMHERST, NY 14228-2795
(716) 589-1411
Mailing address
1412 SWEET HOME RD, AMHERST, NY 14228-2795
(716) 589-1411

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
09/22/2022
Last updated
06/22/2025
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