Individual
MS. GABRIEL TOBIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083-2712
(484) 454-8700
Mailing address
2036 MOUNT VERNON ST APT 3F, PHILADELPHIA, PA 19130-3278
(260) 466-4470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020694
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW020694
PENSYLVANNIA STATE LICENSING BOARD
PA
Enumeration date
03/24/2020
Last updated
03/24/2020
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