Individual
DR. LAURA LYNN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
1907 S MANITOU AVE, BOISE, ID 83706-4147
(319) 654-5246
Mailing address
1907 S MANITOU AVE, BOISE, ID 83706-4147
(319) 654-5246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6096
ID
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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