Individual
GUY EDMUND GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4825 N SABINO CANYON RD, TUCSON, AZ 85750-6427
(520) 884-7954
(520) 884-0383
Mailing address
4825 N SABINO CANYON RD, TUCSON, AZ 85750-6427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11808
LCSW
AZ
Enumeration date
01/06/2010
Last updated
01/06/2010
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