Most Relevant Information
Provider Data
| NPI Number: | 1003691817 |
| Provider Name: | AMIDY MARIE GALLAGHER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
4005 N COOK ST
SPOKANE
WA
992075879
Practice Location Phone/Fax
| Phone: | 5093980447 |
| Fax: |
Provider Mailing Location
6125 N MAYFAIR ST APT 12
SPOKANE
WA
992088107
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |