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Contact Information

BREANNA S GAMBLE
3530 MANOR DR # A
VICKSBURG, MS39180-5625
 Phone: 601-738-5260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BREANNA S GAMBLE · (Female)

NPI # 1073177143
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2019
Last updated 04/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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