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NPI Profile for SANDRA M GALLOW in WAUPACA, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1578768552 |
|
| Status | Active | |
| Credentials | LPC LICENSED PROFESS | |
| Entity | Individual | |
| Enumeration date | 06/19/2007 | |
| Last updated | 03/10/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SANDRA M GALLOW
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SANDRA M GALLOW, LPC LICENSED PROFESS