Organization
DR AGW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
6136 S 30TH ST, KALAMAZOO, MI 49048-9344
(504) 273-1556
(517) 323-9531
Mailing address
6136 S 30TH ST, KALAMAZOO, MI 49048-9344
(504) 273-1556
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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