Individual
MS. GABRIEL NYCOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1456 MCLENDON DR STE B, DECATUR, GA 30033-1848
(404) 728-9766
Mailing address
2831 N SURREY DR, CARROLLTON, TX 75006-4800
(251) 404-9646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117027
TX
Other
Enumeration date
05/30/2018
Last updated
02/17/2021
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