Individual
KATHLEEN GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 224-3000
(989) 224-0951
Mailing address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 224-3000
(989) 224-0951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015458
MI
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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