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1588012934
EBONY Y GYABAA
SPRINGFIELD, MA
NPI
1588012934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA LICSW1120753)
Enumeration Date
2016-05-26
Last Update Date
2024-10-09
Business Address
EBONY Y GYABAA
66 GOLD ST
SPRINGFIELD, MA 01107-1325
Phone number: 413-330-0415
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Mailing Address
EBONY Y GYABAA
181 MASSASOIT ST
SPRINGFIELD, MA 01107-1756
Phone number: 413-330-0415
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