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Individual

GABRIELLE HOLDER

Active
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Individual

GABRIELLE HOLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
LC50080704
DC
103TC1900X
Counseling Psychologist
Primary
LC50080704
DC
103TF0000X
Family Psychologist
LC50080704
DC
103TS0200X
School Psychologist
LC50080704
DC

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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