Individual
MARY COLLINS GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
831 E WASHINGTON AVE, MADISON, WI 53703-2935
(608) 255-7356
Mailing address
831 E WASHINGTON AVE, MADISON, WI 53703-2935
(608) 255-7356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4076-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43744400
—
WI
Enumeration date
07/31/2009
Last updated
07/31/2009
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