Individual
BRIAN J GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
524 N PROVIDENCE RD, MEDIA, PA 19063-3056
(484) 440-9416
Mailing address
3102 N HARRISON ST, WILMINGTON, DE 19802-2937
(610) 212-0196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW024673
PA
1041C0700X
Clinical Social Worker
SW123785
PA
Other
Enumeration date
04/02/2008
Last updated
05/08/2024
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