Individual
MS. DEANNA LYNN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARRIAGE & FAMILY TH
Contact information
Practice address
326 E. CENTER STREET, POCATELLO, ID 83202
(909) 455-3872
Mailing address
326 E CENTER ST, POCATELLO, ID 83201-6307
(909) 455-3872
(909) 455-3872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5084253-3902
UT
Other
Enumeration date
01/06/2012
Last updated
11/30/2016
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