GABRIELLE J. FORMAN

LOS ANGELES, CA
NPI1073746681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 24101)
Enumeration Date2009-08-30
Last Update Date2009-08-30
Business Address
-- GABRIELLE J. FORMAN L.C.S.W.
2904 ROWENA AVE
LOS ANGELES, CA 90039-2042
Phone number: 310-625-2102
Mailing Address
-- GABRIELLE J. FORMAN L.C.S.W.
3507 MADERA AVE
LOS ANGELES, CA 90039-1929
Phone number: 310-625-2102
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