Individual
MS. DONNA MARIE GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 621-7367
Mailing address
533 WEBSTER ST, LEWISTON, ME 04240-1652
(207) 623-8411
(207) 621-7367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10056
ME
Other
Enumeration date
07/07/2006
Last updated
05/03/2016
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