Kathleen Ellen Gallo CADC III

NPI 1174632343 - Counselor - 101YA0400X

NPI Details
NPI 1174632343
Gender Female
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1635 MAPLE LN
ASHLAND WI, 54806-3610, US
Phone (715) 685-5400
Fax (715) 685-5102
Business Location
1635 MAPLE LN
ASHLAND WI, 54806-3610, US
Phone (715) 685-5400
Fax (715) 685-5102
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 11212
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According to our database, Ms. Kathleen Ellen Gallo CADC III NPI is 1174632343, taxonomy code is 101YA0400X and license number is 11212, license state is located at Wisconsin. Kathleen Ellen Gallo CADC III physically located at 1635 Maple Ln, Ashland WI, 54806-3610. NPI Number Kathleen Ellen Gallo CADC III has the Individual type.

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1174632343 NPI number is provided on an as is basis without warranty of any kind. 1174632343 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Ellen Gallo CADC III are for informational purposes only.