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Individual
CARL J GALLAGHER
Active
Individual
CARL J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6602
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC6134
BOARD OF ALCOHOL & DRUG COUNSELORS
ME
Enumeration date
01/24/2017
Last updated
07/10/2018
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