GABRIELLE M SHAW

GARY, IN
NPI1316692692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
171M00000X Case Manager/Care Coordinator
246RM2200X Technician, Pathology, Medical Laboratory
246RP1900X Technician, Pathology, Phlebotomy
(Licence: IN  60512)
251B00000X Case Management
Enumeration Date2022-02-15
Last Update Date2022-03-28
Business Address
GABRIELLE M SHAW PBT,
4795 BROADWAY STE D
GARY, IN 46409-2403
Phone number: 219-779-5939
Mailing Address
GABRIELLE M SHAW PBT,
4795 BROADWAY STE D
GARY, IN 46409-2403
Phone number: 219-331-5791