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1053925057
GABRIELLE BANATHY-SULLIVAN
CHICO, CA
NPI
1053925057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW116292)
Enumeration Date
2020-09-07
Last Update Date
2023-09-26
Business Address
GABRIELLE BANATHY-SULLIVAN LCSW
580 MANZANITA AVE STE 5
CHICO, CA 95926-1338
Phone number: 530-206-0577
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Mailing Address
GABRIELLE BANATHY-SULLIVAN LCSW
1380 EAST AVE SUITE 124 #115
CHICO, CA 95926
Phone number: 530-206-0577
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