Provider Information for 1861738502
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GABRIELLA GALUCCI LMFT
Sex: Female
NPI: 1861738502
Last Updated: 2023-08-16
Certification Date: 2023-08-16
Certification Date: 2023-08-16
Details
| Name | Value | ||||||||||||
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| NPI | 1861738502 | ||||||||||||
| Enumeration Date | 2012-12-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1221 DISK DR MEDFORD, OR 97501-6638 United States Phone: 541-500-0977 | Fax: | ||||||||||||
| Primary Practice Address | 900 E MAIN ST MEDFORD, OR 97504-7136 United States Phone: 541-500-0977 | Fax: | ||||||||||||
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