Individual
GABRIEL TY KUECHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1030 GRANT ST SE STE 8, ATLANTA, GA 30315-2015
(678) 994-4864
Mailing address
1030 GRANT ST SE STE 8, ATLANTA, GA 30315-2015
(678) 994-4864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MSW010904
GA
Other
Enumeration date
07/18/2023
Last updated
04/05/2024
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