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Individual

KATHIE M GALLARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
906 W CANNON ST APT 100, FORT WORTH, TX 76104-3052
(817) 672-8602
Mailing address
6812 RANDOL MILL RD LOT 8, FORT WORTH, TX 76120-1239
(817) 807-1452

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1189833
TX

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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