Individual
MS. VIRGINIA M GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,SLP
Contact information
Practice address
11577 W MULE DEER CT, SURPRISE, AZ 85374-2511
(602) 399-2278
Mailing address
11577 W MULE DEER CT, SURPRISE, AZ 85374-2511
(602) 399-2278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL 5389
AZ
Other
Enumeration date
02/21/2007
Last updated
03/22/2010
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