Individual
SAMANTHA ELLEN GALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E MAIN ST STE 14, MEDFORD, OR 97504-7139
(541) 841-2265
Mailing address
720 HERMOSA DR, CENTRAL POINT, OR 97502-2114
(541) 841-2265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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