Individual
GABRIEL SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005846
GA
Other
Enumeration date
10/23/2018
Last updated
04/20/2019
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