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NPI Profile for CARL J GALLAGHER in CARIBOU, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1497292825 |
|
| Status | Active | |
| Credentials | LADC | |
| Entity | Individual | |
| Enumeration date | 01/24/2017 | |
| Last updated | 07/10/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARL J GALLAGHER
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CARL J GALLAGHER, LADC