Individual
GABRIELLE PUCCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6795
(954) 639-7345
Mailing address
3911 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6795
(954) 639-7345
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT2418
FL
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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