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Individual

MR. RICHARD LAMAR GAMBLE II

Active
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Individual

MR. RICHARD LAMAR GAMBLE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ASW

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
94917
CA
1041C0700X
Clinical Social Worker
P009812
NC
1041C0700X
Clinical Social Worker
Primary
172V00000X
Community Health Worker

Other

Enumeration date
01/13/2016
Last updated
12/09/2020
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