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Individual

YOLI GALLAGHER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 294-4657
(207) 294-4649
Mailing address
46 H RD, ACTON, ME 04001-6016
(207) 294-4657

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2301
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326030099
ME
Enumeration date
03/27/2006
Last updated
07/08/2007
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