Individual
CARLY GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 399-6446
(518) 952-8109
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
086393
NY
Other
Enumeration date
10/10/2012
Last updated
04/25/2025
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