Individual
JADE LILLYAN GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 674-4405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
05/22/2026
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