Individual
MR. BRIAN DAVID GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
14236 IRVINGTON DR, WARREN, MI 48088-3819
(586) 772-7395
Mailing address
14236 IRVINGTON DR, WARREN, MI 48088-3819
(586) 772-7395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801020267
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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