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Individual

MS. COLLEEN MARY GALLAGHER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2001 HUDSON, KALAMAZOO, MI 49008
(269) 343-9823
Mailing address
2001 HUDSON, KALAMAZOO, MI 49008
(269) 343-9823

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801019349
MI
106H00000X
Marriage & Family Therapist
Primary
4101005619
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0890926
BLUE CROSS PIN #
Enumeration date
12/06/2005
Last updated
09/11/2025
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