Individual
MRS. EMMA MICHELI GALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
(219) 791-1422
Mailing address
2530 SANDY RIDGE RD, DYER, IN 46311-1987
(219) 865-6839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523706
ANTHEM BC/BS
IN
Enumeration date
02/08/2007
Last updated
11/08/2010
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