Individual
MRS. SANDRA MARY GALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LICENSED PROFESS
Contact information
Practice address
811 HARDING STREET, WAUPACA, WI 54981
(715) 258-6292
(715) 258-6409
Mailing address
811 HARDING STREET, WAUPACA, WI 54981
(715) 258-6292
(715) 258-6409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2557125
WI
Other
Enumeration date
06/19/2007
Last updated
03/10/2017
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