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General NPI Number Information
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NPI Number | 1487173522
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Entity Type | Organization
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Legal Business Name | GABRIEL LAM, LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 09/10/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 230 S 8TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-2905
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Country | US
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Telephone | 442-236-8668
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Fax | 760-592-4357
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Provider Business Mailing Address
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Address Line | 230 S 8TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-2905
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Country | US
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Telephone | 442-236-8668
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Fax | 760-592-4357
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Authorized Official
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Title or Position | PROVIDER
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Name | GABRIEL LAM
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Credential | LCSW
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Telephone | 760-455-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 26366
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License Number State | CA
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