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1164173639
JESSICA NICOLE GAMBILL
BOISE, ID
NPI
1164173639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-41490)
Enumeration Date
2022-01-15
Last Update Date
2022-01-15
Business Address
JESSICA NICOLE GAMBILL LCSW
4241 N CLOVERDALE RD
BOISE, ID 83713-2412
Phone number: 208-515-5416
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Mailing Address
JESSICA NICOLE GAMBILL LCSW
4241 N CLOVERDALE RD
BOISE, ID 83713-2412
Phone number: 208-515-5416
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