Individual
ELIZABETH MARIE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 CASCADE CT, AVON LAKE, OH 44012-3116
(419) 612-2935
Mailing address
12835 HAMPTON CLUB DR APT 101, NORTH ROYALTON, OH 44133-7440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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