Individual
AMANDA GALLOGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 WATERFRONT DR, IOWA CITY, IA 52240-4416
(319) 337-4523
Mailing address
5400 KIRKWOOD BLVD SW, CEDAR RAPIDS, IA 52404-5216
(319) 364-0259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007478
IA
Other
Enumeration date
11/20/2012
Last updated
06/14/2013
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