Individual
MRS. CLORISHEY MICHELLE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 516-5274
(617) 445-2672
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 516-5274
(617) 445-2672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
MA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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