Individual
BONNIE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Mailing address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302579
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23341
CHARTERED (MEDICAID MCO)
DC
01
—
295628
AMERIGROUP
DC
01
—
5236
HEALTHRIGHT (MEDICAID MCO
DC
Enumeration date
02/13/2007
Last updated
07/08/2007
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