Individual
LESLIE A GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401
(870) 972-4939
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1715-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X420
BLUECROSS BLUESHIELD
AR
Enumeration date
07/03/2006
Last updated
07/08/2007
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