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Individual

MR. DAVID S GAMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., LPC, BCPC,

Contact information

Practice address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(517) 795-4379
Mailing address
5389 ORCHARD HILL AVE, KALAMAZOO, MI 49009-3831
(517) 795-4379

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007971
MI

Other

Enumeration date
05/09/2019
Last updated
05/09/2019
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