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Individual
MARY GALLAGHER
Active
Individual
MARY GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.010565
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
23536
IL
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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