Individual
GABRIELLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9079 4TH ST N, ST PETERSBURG, FL 33702-3127
(716) 627-3949
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-2700
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
04/04/2022
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