Individual
MS. KIFFANY SHANTREL GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 AIRPORT BLVD STE 410, MOBILE, AL 36606-3658
(251) 470-2548
Mailing address
701 S. UNIVERSITY BLVD APT #348, MOBILE, AL 36609
(251) 533-3351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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