Individual
MRS. BETH MI GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 4TH, GRINNELL, IA 50112
(641) 781-0770
(626) 795-7080
Mailing address
1404 BROAD STREET, GRINNELL, IA 50112
(641) 781-0770
(626) 795-7080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008368
IA
1041C0700X
Clinical Social Worker
18431
CA
1041C0700X
Clinical Social Worker
LCS18431
CA
Other
Enumeration date
03/25/2006
Last updated
07/03/2018
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