Individual
GABRIELLE E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2607 WOODRUFF RD STE E, SIMPSONVILLE, SC 29681-3625
(864) 209-1859
Mailing address
204 FLAGSTAR CT, FOUNTAIN INN, SC 29644-8407
(864) 903-5516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
117422
NY
104100000X
Social Worker
14538
SC
104100000X
Social Worker
MSW010333
GA
1041C0700X
Clinical Social Worker
Primary
C017020
NC
Other
Enumeration date
07/06/2020
Last updated
07/01/2024
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