Timothy Gallagher, LCSW Valid NPI
Individual provider · Clinical Social Worker · Tyndall Afb, FL
- NPI
- 1093273625
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 44SC05867500 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-03-02
- Last updated
- 2021-07-28
Practice location
340 Magnolia Cir
Tyndall Afb, FL 32403-5604
(850) 283-7511