Angela Gallo
Social Worker, Clinical in Pawtucket, RI. Individual provider (NPI-1).
NPI number1982193884
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1982193884
- Entity type
- Individual (NPI-1)
- Name
- Angela Gallo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
249 Roosevelt AvePawtucket, RI 02860-2134
Phone 401-724-8400 · Fax 401-305-3874
Mailing address
78 Medford RdDumont, NJ 07628-1147
Phone 201-406-6465
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