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NPI Profile for MICHAEL R GALLAGHER in DURAND, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1851640841 |
|
| Status | Active | |
| Credentials | LMLP, LCPC | |
| Entity | Individual | |
| Enumeration date | 09/05/2012 | |
| Last updated | 07/09/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL R GALLAGHER
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