MEDICARE: MRS. GISELLE LABOY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW22631	FL

General Provider Information

NPI Number	:	1174382261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GISELLE LABOY LCSW

Provider Business Mailing Address
First Line	:	827 LAUREL AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4043
Country	:	US
Telephone Number	:	321-317-8726
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 LAUREL AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4043
Country	:	US
Telephone Number	:	321-317-8726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

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