Individual
KATHERINE ANN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 972-0139
Mailing address
2515 N 21ST ST, BOISE, ID 83702-0603
(208) 484-5025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36441
ID
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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