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Individual

DANA A GALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MSM

Contact information

Practice address
PHYSICIANS HEALTHCARE ORGANIZATION, 6659 SULLIVAN RD, GREENWELL SPRINGS, LA 70739
(225) 261-0160
Mailing address
42442 BLYTH AVE, PONCHATOULA, LA 70454-5498
(985) 377-3674

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/10/2018
Last updated
07/01/2019
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