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Individual

AVERY GALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPATA, ATR-P

Contact information

Practice address
13011 W HIGHWAY 42 STE 207, PROSPECT, KY 40059-7156
(502) 694-2663
Mailing address
2713 EDGEWOOD DR, JEFFERSONVILLE, IN 47130-6615
(502) 430-9956

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
288313
KY

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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