MEDICARE: MRS. GABRIELLE CHAPMAN LEOPARD ED.S.

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	106H00000X	Marriage & Family Therapist	4512	SC

General Provider Information

NPI Number	:	1275861486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GABRIELLE CHAPMAN LEOPARD ED.S.

Provider Business Mailing Address
First Line	:	153 N SPRING ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-2309
Country	:	US
Telephone Number	:	864-583-5969
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 N SPRING ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-2309
Country	:	US
Telephone Number	:	864-583-5969
Fax Number	:

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

Provider Enumeration Date	:	11/28/2009
Last Update Date	:	11/28/2009

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