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Individual

LEONARD GALLO

Active
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Individual

LEONARD GALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LCADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00279500
NJ
104100000X
Social Worker
095193
NY
1041C0700X
Clinical Social Worker
087575
NY
1041C0700X
Clinical Social Worker
149019826
IL
1041C0700X
Clinical Social Worker
Primary
44SC05768400
NJ

Other

Enumeration date
07/29/2015
Last updated
10/29/2019
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