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Organization

ARLENE GEORGIA GALLAN PHD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARLENE GEORGIA GALLAN PHD (OWNER)
(910) 815-3535
Entity
Organization

Contact information

Practice address
3205 RANDALL PKWY, SUITE 126, WILMINGTON, NC 28403-2564
(910) 815-3535
(866) 293-1180
Mailing address
3205 RANDALL PKWY, SUITE 126, WILMINGTON, NC 28403-2564
(910) 815-3535
(866) 293-1180

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000529
NC
05
6008371
NC
Enumeration date
02/15/2007
Last updated
01/13/2015
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