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Individual

MISS ANN K. GALLO

Active
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Individual

MISS ANN K. GALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LCS65668
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891980561
NPI
CA
01
LCS65668
MEDICAL LICENSE
CA
Enumeration date
09/06/2007
Last updated
10/10/2019
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