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Individual

JULIE E GALLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-0444
(231) 834-0200
Mailing address
194 BROWN RD, BAILEY, MI 49303-9782
(616) 432-7551

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016694
MI

Other

Enumeration date
07/17/2018
Last updated
05/22/2024
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