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Individual

MISS GABRIELLE MARILYN PEREBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLMHC

Contact information

Practice address
1630 42ND ST NE, CEDAR RAPIDS, IA 52402-3063
(800) 531-4236
(319) 483-6661
Mailing address
1630 42ND ST NE, CEDAR RAPIDS, IA 52402-3063
(800) 531-4236
(319) 483-6661

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120642
IA

Other

Enumeration date
06/19/2023
Last updated
07/06/2023
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