Individual
GABRIELLE KRYSTYNA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5295 RIVERCHASE DR APT 1508, PHENIX CITY, AL 36867-7516
(229) 942-9159
Mailing address
5295 RIVERCHASE DR APT 1508, PHENIX CITY, AL 36867-7516
(229) 942-9159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4535C
AL
1041C0700X
Clinical Social Worker
Primary
CSW007491
GA
Other
Enumeration date
09/22/2020
Last updated
02/14/2021
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