Individual
GABRIELLE FRANCIS CONRAD-AMLICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(203) 470-5990
Mailing address
1940 COMMONWEALTH AVE APT 21, BRIGHTON, MA 02135-5806
(781) 292-2196
(781) 292-2197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
07/14/2021
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