Individual
MS. MARIA CHRISTINE GALLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 W FAYETTE AVE APT 2, SPRINGFIELD, IL 62704-2491
(217) 836-7678
Mailing address
1012 W FAYETTE AVE APT 2, SPRINGFIELD, IL 62704-2491
(217) 836-7678
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
G45054383951
IL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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