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Individual
NICOLE ELIZABETH GALLAGHER
Active
Individual
NICOLE ELIZABETH GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801097127
MI
1041C0700X
Clinical Social Worker
Primary
I1700190
OH
Other
Enumeration date
11/24/2014
Last updated
07/19/2022
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