| Doctor Name: | DANIELLE JUNE GAMBLES |
| NPI Number: | 1366845430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW INTERN |
| License Number: | $$$$$$$$$ |
| Business Practice Address: | 14625 Ne 23rd St Choctaw, OK - 730208728 |
| Business Phone Number: | 4053908134 |
| Business Fax Number: | |
| Mailing Address: | 2812 Nw 23rd St, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731072214 |
| Phone Number: | 4803297805 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2014 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | $$$$$$$$$ |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |