Individual
MICHELLE GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
655 E JERSEY ST, DEPT. OF BEHAVIORAL HEALTH & PSYCHIATRY, ELIZABETH, NJ 07206-1259
(908) 994-5000
(908) 994-5000
Mailing address
283 COLLFIELD AVE, STATEN ISLAND, NY 10314-1929
(646) 296-1120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05394500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL05394500
STATE LICENSE
NJ
Enumeration date
06/18/2007
Last updated
06/07/2022
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