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Individual

REBECCA ANNE GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 N MAIN ST, GORDON, NE 69343-1033
(308) 360-1080
Mailing address
701 N MAIN ST, GORDON, NE 69343-1033
(308) 360-1080

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171MOOOOOX
NE
Enumeration date
12/16/2019
Last updated
08/23/2021
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