Individual
GABRIELLE NICHOLE GERNGROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
616 PIERCE ST, PHILADELPHIA, PA 19148-1720
(267) 688-7266
Mailing address
616 PIERCE ST, PHILADELPHIA, PA 19148-1720
(267) 688-7266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136255
PA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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