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General NPI Number Information
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NPI Number | 1225773286
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Entity Type | Individual
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Provider Name | KAYLA S GALLO LCSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 107 SW MARKET ST STE D
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2360
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Country | US
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Telephone | 816-699-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 SW PACIFIC DR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3229
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Country | US
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Telephone | 816-699-4315
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2022029969
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2019022730
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License Number State | MO
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