Individual
GABRIELA MARQUEZ CANALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11336 ORCHARD LN, RESTON, VA 20190-4430
(803) 237-1276
Mailing address
11336 ORCHARD LN, RESTON, VA 20190-4430
(803) 237-1276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
068918
NY
1041C0700X
Clinical Social Worker
Primary
078478
NY
Other
Enumeration date
06/19/2007
Last updated
07/10/2019
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