Individual
KRISTIAN GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN, BETHEL, AK 99559
(907) 543-6100
(907) 543-6159
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
147386
AK
1041C0700X
Clinical Social Worker
Q1-0001606
DE
Other
Enumeration date
03/25/2016
Last updated
11/18/2019
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