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NPI Code Detail

MEDICARE: MICHAEL R GALLIGAN LCSW

MEDICARE: MICHAEL R GALLIGAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker116296MA
2104100000XSocial WorkerLC20106ME

General Provider Information

NPI Number : 1548769854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R GALLIGAN LCSW
Provider Business Mailing Address
First Line : 5 CENTRAL MAINE XING
Second Line :
City : GARDINER
State : ME
Zip : 04345-6320
Country : US
Telephone Number : 207-582-6608
Fax Number : 207-582-2258
Provider Business Practice Location Address
First Line : 5 CENTRAL MAINE XING
Second Line :
City : GARDINER
State : ME
Zip : 04345-6320
Country : US
Telephone Number : 207-582-6608
Fax Number : 207-582-2258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2018
Last Update Date : 08/04/2021

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Directions to “ MICHAEL R GALLIGAN LCSW” Practice Location

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