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Individual

GABRIELLA ANN HANGIANDREOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
705 S 24TH AVE, CHW COMMUNITY SERVICES CHILD AND FAMILY COUNSELING, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Mailing address
705 S 24TH AVE, CHW COMMUNITY SERVICES CHILD AND FAMILY COUNSELING, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35579
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35579-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861407660
WI
05
32501200
WI
01
35579-20
WI STATE LICENSE
WI
Enumeration date
07/30/2006
Last updated
11/25/2014
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