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Individual

EMILY GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
3737 LANDER RD, CLEVELAND, OH 44124-5712
(216) 831-2255
Mailing address
3737 LANDER RD, CLEVELAND, OH 44124-5712
(216) 831-2255

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0900095-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871101
OH
Enumeration date
10/14/2015
Last updated
10/14/2015
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