Individual
MRS. JENNY GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
33 KNIGHT BOXX RD # 2, ORANGE PARK, FL 32065-7305
(904) 385-9310
Mailing address
2613 RIDGECREST AVE, ORANGE PARK, FL 32065-6221
(904) 635-3635
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1448
FL
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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