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Individual

MS. DEBRA SUE GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
3200 CARLISLE NE, SUITE 108, ALBUQUERQUE, NM 87110
(505) 889-4581
(505) 889-4598
Mailing address
PO BOX 35505, ALBUQUERQUE, NM 87176
(505) 889-4581
(505) 889-4598

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC0882
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96626054
NM
Enumeration date
12/04/2006
Last updated
07/08/2007
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