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1427529643
TRACEY LYNN GILGALLON
SYRACUSE, NY
NPI
1427529643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074525-1)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
TRACEY LYNN GILGALLON LCSW
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-5103
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Mailing Address
TRACEY LYNN GILGALLON LCSW
216 PROSPECT ST
CANASTOTA, NY 13032-1439
Phone number: 131-576-1359
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