Individual
JUSTINE EMILY GAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
1941 LAVERNE DR, ARNOLD, MO 63010-1227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012003981
MO
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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