Individual
LORRAINE BROWN GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1185 MAIN ST, SUITE 1, WILLIMANTIC, CT 06226-2093
(860) 423-4279
(860) 423-4284
Mailing address
1185 MAIN ST, SUITE 1, WILLIMANTIC, CT 06226-2093
(860) 423-4279
(860) 423-4284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001724
CT
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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