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Individual

MS. VALERIE DELORIS GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ALC

Contact information

Practice address
208 QUAIL RIDGE RD, ELMORE, AL 36025-1006
(334) 328-5541
Mailing address
PO BOX 508, GOODWATER, AL 35072-0508
(256) 207-6500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3170A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000
AL
Enumeration date
10/21/2018
Last updated
10/21/2018
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