Individual
GABRIELLE BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 BOYLSTON ST APT 22I, BOSTON, MA 02199-7923
(973) 568-3100
Mailing address
790 BOYLSTON ST APT 22I, BOSTON, MA 02199-7923
(973) 568-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000223097
MA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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