Individual
MR. LEONARD JOSEPH GALLAGHER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYD
Contact information
Practice address
451 MARSHALL ST, BROOKLYN, MI 49230
(517) 414-0697
(517) 938-5914
Mailing address
PO BOX 722, BROOKLYN, MI 49230
(517) 414-0697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012470
MI
103T00000X
Psychologist
LG012470
MI
Other
Enumeration date
02/07/2008
Last updated
03/17/2018
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