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Individual

GABRIELLE VIRGINIA SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
610 E EMMA AVE STE C, SPRINGDALE, AR 72764-4685
(479) 751-7417
(479) 751-4898
Mailing address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
(479) 751-4898

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26211-M
AR

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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