Individual
MARK GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 CREEKVIEW DR, MARYSVILLE, OH 43040-8391
(937) 578-7119
Mailing address
2100 CREEKVIEW DR, MARYSVILLE, OH 43040-8391
(937) 578-7119
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3151561
OH
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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