Individual
KRISTI GABRIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 LACKAWANNA AVE, DALLAS, PA 18612-1507
(570) 817-0484
Mailing address
11 LACKAWANNA AVE, DALLAS, PA 18612-1507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013553
PA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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