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1083088751
TIFFANY GAMBLE
LAKE CHARLES, LA
NPI
1083088751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-18
Last Update Date
2018-05-10
Business Address
TIFFANY GAMBLE
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
TIFFANY GAMBLE
1904 7TH ST
LAKE CHARLES, LA 70601-5577
Phone number:
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