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Individual

MS. KIMBERLY ANN GALLAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
2005 U.S. 22, BRIDGEWATER, NJ 08807
(732) 302-4596
Mailing address
119 BERMUDA DR, BRANCHBURG, NJ 08853-4286
(908) 892-7098

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00705100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41YS00705100
NJ STATE LICENSE IN SPEECH LANGUAGE PATHOLOGY
NJ
Enumeration date
08/21/2013
Last updated
08/21/2013
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