Individual
MRS. TARA D GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
130 PINE STREET, LOWELL, MA 01851
(978) 937-7662
(978) 937-7663
Mailing address
130 PINE STREET, LOWELL, MA 01851
(978) 937-7662
(978) 937-7663
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
118582
MA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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