Individual
KATHRYN REBECCA FORTUNE-GALLAGHER
Active
Individual
KATHRYN REBECCA FORTUNE-GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801067347
MI
1041C0700X
Clinical Social Worker
097803-01
NY
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0561.
NM
Other
Enumeration date
08/23/2011
Last updated
01/08/2026
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