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Individual

PROF. DAVID E GALLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW,LMFT

Contact information

Practice address
480 PIERCE ST, SUITE 300, KINGSTON, PA 18704-5512
(570) 574-2738
Mailing address
480 PIERCE ST, SUITE 300, KINGSTON, PA 18704-5512
(570) 574-2738

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000271
PA

Other

Enumeration date
05/14/2007
Last updated
07/25/2014
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