Individual
STEPHANIE MARIE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
360 E LIBERTY ST, WEISER, ID 83672-2261
(208) 549-4424
Mailing address
3107 W KANDICE ST, MERIDIAN, ID 83646-4154
(208) 871-3635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW44858
ID
Other
Enumeration date
02/06/2020
Last updated
04/09/2024
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