Individual
MRS. SUSAN KAYE GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 MOUND, TROY, MO 63379
(636) 697-2747
(573) 898-2168
Mailing address
1191 BROWNSMILL, ELSBERRY, MO 63343
(636) 697-2747
(573) 898-2168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007031028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639356793
—
MO
Enumeration date
01/30/2008
Last updated
12/13/2011
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