Individual
GABRIELLIA BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
433 FOND DU LAC DR, STONE MTN, GA 30088-1117
(843) 452-2703
Mailing address
433 FOND DU LAC DR, STONE MTN, GA 30088-1117
(843) 452-2703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW011506
GA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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