Individual
MS. MATILDA JANE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 RUE DE GRANDE, BRENTWOOD, TN 37027-8007
(615) 476-9813
Mailing address
119 RUE DE GRANDE, BRENTWOOD, TN 37027-8007
(615) 476-9813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6997
TN
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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