Individual
GABRIELLE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 OAK ST, APT C17, LINDENWOLD, NJ 08021-2402
(609) 314-5486
Mailing address
91 OAK ST, APT C17, LINDENWOLD, NJ 08021-2402
(609) 314-5486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P68782706456882
NJ
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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