Provider Information for 1831208909
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Ms. KATHLEEN MARY GALLAGHER LMSW
Sex: Female
NPI: 1831208909
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1831208909 | ||||||||
Enumeration Date | 2006-08-30 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 35235 RIDGE RD # 1 RICHMOND, MI 48062-1819 United States Phone: 586-727-8126 | Fax: | ||||||||
Primary Practice Address | 2875 HENRY ST PORT HURON, MI 48060-2526 United States Phone: 810-364-3789 | Fax: | ||||||||
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