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Individual

DAWN MARIE GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, BA

Contact information

Practice address
3470 WASHINGTON DR, EAGAN, MN 55122-1355
(612) 454-2248
(651) 454-2972
Mailing address
550 MAIN ST STE 230, NEW BRIGHTON, MN 55112-3274

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303290
MN

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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