Individual
MS. MICHELE ANN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP-S
Contact information
Practice address
1500 HIGHWAY 17 N STE 102, SURFSIDE BEACH, SC 29575-6079
(910) 520-8358
Mailing address
2676 HENAGAN LN, MYRTLE BEACH, SC 29588-5440
(910) 520-8358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1412
—
SC
Enumeration date
08/06/2006
Last updated
02/24/2023
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