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Individual
JANA GUMLEY
Active
Individual
JANA GUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115614
AK
1041C0700X
Clinical Social Worker
Primary
138536
AK
Other
Enumeration date
07/16/2018
Last updated
03/19/2021
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