Individual
CONNIE F GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084369
MI
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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