Individual
MRS. AMYSUE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
841 PRUDENTIAL DR STE 1900, JACKSONVILLE, FL 32207-8373
(904) 633-9020
Mailing address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW12155
FL
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
12/01/2021
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