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1417466053
BRIDGET DARA GALLACE
GLEN COVE, NY
NPI
1417466053
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Former Name
BRIDGET DARA AMANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
Mrs. BRIDGET DARA GALLACE MSED
8 EAST AVE
GLEN COVE, NY 11542-3917
Phone number: 631-672-9043
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Mailing Address
Mrs. BRIDGET DARA GALLACE MSED
8 EAST AVE
GLEN COVE, NY 11542-3917
Phone number: 631-672-9043
Copy
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