Individual
CHRISTINA KOCH GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
28 GROVE ST, WALLINGFORD, CT 06492-1607
(203) 641-9311
Mailing address
28 GROVE ST, WALLINGFORD, CT 06492-1607
(203) 265-5975
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000648
CT
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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