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1871091579
GABRIELLE J DAVIS
MATAWAN, NJ
NPI
1871091579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00400000)
Enumeration Date
2018-01-28
Last Update Date
2018-06-18
Business Address
GABRIELLE J DAVIS LAC, NCC
166 MAIN ST
MATAWAN, NJ 07747
Phone number: 732-290-9040
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Mailing Address
GABRIELLE J DAVIS LAC, NCC
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number:
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