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Individual

ASHLEY GABRIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 7TH AVE S, BIRMINGHAM, AL 35294-0017
(205) 934-5471
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY003427
GA
103TC0700X
Clinical Psychologist
Primary
1623
AL

Other

Enumeration date
04/12/2011
Last updated
08/10/2016
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