Individual
KELLY R GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
49 RIVERFRONT AVE, PAULSBORO, NJ 08066-2202
(856) 443-3803
Mailing address
49 RIVERFRONT AVE, PAULSBORO, NJ 08066-2202
(856) 443-3803
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NJ
Other
Enumeration date
04/16/2025
Last updated
04/17/2025
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