Most Relevant Information
Provider Data
| NPI Number: | 1003023540 |
| Provider Name: | MISTY LEE GALLIMORE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 12/29/2020 |
Provider Practice Location
1090 OLD FLORENCE RD
LAWRENCEBURG
TN
384648401
Practice Location Phone/Fax
| Phone: | 9317626505 |
| Fax: |
Provider Mailing Location
1090 OLD FLORENCE RD
LAWRENCEBURG
TN
384648401
Provider Mailing Phone/Fax
| Phone: | 9317626505 |
| Fax: |