Individual
AMANDA MARIE GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
910 CAPLAN RD APT 5411, WEST MELBOURNE, FL 32904-5238
(917) 773-2956
Mailing address
910 CAPLAN RD APT 5411, WEST MELBOURNE, FL 32904-5238
(917) 773-2956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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