Individual
MRS. STEPHANIE M GALLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
831 NW COUNCIL DR STE 101, GRESHAM, OR 97030-3722
(503) 803-9323
Mailing address
831 NW COUNCIL DR STE 101, GRESHAM, OR 97030-3722
(503) 803-9323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3772
OR
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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