Individual
JORDYAN GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 ACUSHNET AVE, NEW BEDFORD, MA 02745-3636
(774) 330-9740
Mailing address
3057 ACUSHNET AVE, NEW BEDFORD, MA 02745-3636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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