Individual
ANTONIO GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7212
(253) 582-8900
Mailing address
800 MAC LN SE, OLYMPIA, WA 98513-7742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61371752
WA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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