Breanna Supree Alezandri Gamble
NPI #1073177143 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1073177143
- Entity Type
- Individual
- Name
- Breanna Supree Alezandri Gamble
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Apr 24, 2019
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 3530 MANOR DR # A
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5625
- Phone
- (601) 738-5260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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