Individual
GABRIELLE R HOLICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
830 W HIGH ST, LIMA, OH 45801-3971
(513) 853-8520
(513) 442-7695
Mailing address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(513) 853-8520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904017208
VA
1041C0700X
Clinical Social Worker
2024016009
MO
1041C0700X
Clinical Social Worker
Primary
259489
KY
1041C0700X
Clinical Social Worker
I.2405757
OH
Other
Enumeration date
07/16/2024
Last updated
10/25/2024
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