Individual
ELIZABETH A GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8704 VINTON AVE NW, SPARTA, MI 49345-8471
(616) 337-4204
Mailing address
8704 VINTON AVE NW, SPARTA, MI 49345-8471
(616) 337-4204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802058691
MI
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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