Individual
EBONY Y GYABAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 INTERSTATE DR STE 3, WEST SPRINGFIELD, MA 01089-5100
(413) 330-0415
Mailing address
181 MASSASOIT ST, SPRINGFIELD, MA 01107-1756
(413) 330-0415
(413) 733-7841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW1120753
MA
Other
Enumeration date
05/26/2016
Last updated
03/25/2026
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