Individual
SHIRLEY GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3621
(954) 817-6107
(954) 530-7988
Mailing address
708 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3621
(954) 817-6107
(954) 530-7988
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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