Individual
GABRIELLE BANZHAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
3731 PEARL RD, CLEVELAND, OH 44109-2750
(407) 761-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2303253
OH
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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