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Individual

AMANDA BANKS GALER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
63484 LIGHTNING RD, COOS BAY, OR 97420-3896
(859) 878-2176
Mailing address
63484 LIGHTNING RD, COOS BAY, OR 97420-3896
(859) 878-2176

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I2002292
OH
1041C0700X
Clinical Social Worker
Primary
KY3773
KY
1041C0700X
Clinical Social Worker
L13802
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160547
OH
05
7100300280
KY
Enumeration date
09/29/2011
Last updated
11/05/2025
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