Individual
JACK F GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8072 NORMANDY DR, FORT RILEY, KS 66442-7069
(785) 240-5543
Mailing address
8072 NORMANDY DR, FORT RILEY, KS 66442-7069
(785) 240-5543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12008
FL
1041C0700X
Clinical Social Worker
Primary
C012820
NC
Other
Enumeration date
04/06/2007
Last updated
10/25/2021
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