Individual
GABRIELA LICZNERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1501 S PINELLAS AVE STE P, TARPON SPRINGS, FL 34689-1952
(727) 547-3692
Mailing address
1691 ALLENS RIDGE DR N, PALM HARBOR, FL 34683-4849
(727) 543-0783
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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