NPI | 1154706208 |
---|---|
Professional Name | LENNY GALLO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05768400) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00279500) |
104100000X Social Worker (Licence: NY 095193) | |
1041C0700X Social Worker, Clinical (Licence: IL 149019826) | |
1041C0700X Social Worker, Clinical (Licence: NY 087575) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2019-10-29 |