Individual
JODIE FERN GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1913 BROMILOW ST, LAS CRUCES, NM 88001-5152
(575) 202-1954
Mailing address
1913 BROMILOW ST, LAS CRUCES, NM 88001-5152
(575) 202-1954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05916
NM
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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