Most Relevant Information
Provider Data
| NPI Number: | 1003255787 |
| Provider Name: | GABRIELLE BUSCHALLA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2013 |
| Last Updated: | 06/17/2013 |
Provider Practice Location
585 LINCOLN ST
WORCESTER
MA
016051906
Practice Location Phone/Fax
| Phone: | 5088310045 |
| Fax: | 5087535051 |
Provider Mailing Location
585 LINCOLN ST
WORCESTER
MA
016051906
Provider Mailing Phone/Fax
| Phone: | 5088310045 |
| Fax: | 5087535051 |