MRS. Quandra Zaketa Gumbo, P-LCSW

NPI #1316261662 in Butner, North Carolina

Provider Information

NPI Number
1316261662
Entity Type
Individual
Name
MRS. Quandra Zaketa Gumbo, P-LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
P-LCSW
Enumeration Date
Mar 16, 2010
Last Updated
Mar 16, 2010

Practice Location

Address
300 VEAZEY DR
City
Butner
ZIP Code
27509-1668
Phone
(919) 764-5519

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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